Provider Demographics
NPI:1689986150
Name:BROWN, JULIET CHENG (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIET
Middle Name:CHENG
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JULIET
Other - Middle Name:S
Other - Last Name:CHENG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:5850 FAYETTEVILLE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6289
Mailing Address - Country:US
Mailing Address - Phone:919-886-4552
Mailing Address - Fax:919-287-2959
Practice Address - Street 1:5850 FAYETTEVILLE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6289
Practice Address - Country:US
Practice Address - Phone:919-886-4552
Practice Address - Fax:919-287-2959
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-12
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3957103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent