Provider Demographics
NPI:1295980217
Name:BROWNING, TABITHA (PSYD, HSPP)
Entity type:Individual
Prefix:
First Name:TABITHA
Middle Name:
Last Name:BROWNING
Suffix:
Gender:F
Credentials:PSYD, HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 E MAIN ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-1649
Mailing Address - Country:US
Mailing Address - Phone:859-432-8356
Mailing Address - Fax:859-432-8480
Practice Address - Street 1:420 E MAIN ST
Practice Address - Street 2:SUITE F
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-1649
Practice Address - Country:US
Practice Address - Phone:859-432-8356
Practice Address - Fax:859-432-8480
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
IN20042385A103TC0700X
KY1644103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist