Provider Demographics
NPI:1134515208
Name:BROTHERS, CAROL
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:
Last Name:BROTHERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 S LEXINGTON AVE UNIT 602
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3326
Mailing Address - Country:US
Mailing Address - Phone:828-505-4205
Mailing Address - Fax:
Practice Address - Street 1:12 S LEXINGTON AVE UNIT 602
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3326
Practice Address - Country:US
Practice Address - Phone:828-505-4205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3323103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist