Basic Information
| Provider Information | |||||||||
| NPI: | 1013297183 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | LAUREN | ||||||||
| MiddleName: | TURNER | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 101 RENEE LYNN CT | ||||||||
| Address2: | CIDD | ||||||||
| City: | CARRBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275106511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199660506 | ||||||||
| FaxNumber: | 9199662230 | ||||||||
| Practice Location | |||||||||
| Address1: | 101 RENEE LYNN CT | ||||||||
| Address2: | CIDD | ||||||||
| City: | CARRBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275106511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199660506 | ||||||||
| FaxNumber: | 9199662230 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/22/2011 | ||||||||
| LastUpdateDate: | 08/22/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 3529 | NC | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TM1800X | 3529 | NC | N | Behavioral Health & Social Service Providers | Psychologist | Mental Retardation & Developmental Disabilities |
No ID Information.