Provider Demographics
NPI:1467558106
Name:BROWNLOW, BETTE HAYES (PSYD)
Entity Type:Individual
Prefix:
First Name:BETTE
Middle Name:HAYES
Last Name:BROWNLOW
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:BETTE
Other - Middle Name:BROWNLOW
Other - Last Name:FERGUSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1521 BRIDFORD PKWY
Mailing Address - Street 2:APT 11C
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-2503
Mailing Address - Country:US
Mailing Address - Phone:336-210-6602
Mailing Address - Fax:336-665-6188
Practice Address - Street 1:1521 BRIDFORD PKWY
Practice Address - Street 2:11C
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-2503
Practice Address - Country:US
Practice Address - Phone:336-210-6602
Practice Address - Fax:336-665-6188
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2698103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00365091OtherRR MCARE W PARADIGM
NC6000817Medicaid
NC6000817Medicaid