Brockett, David
Brockett, David is an sole proprietor health care provider with primary practice located at 20800 Westgate Mall Ste 200 , Fairview Park OH 44126-1318. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Brockett, David can be contacted via phone (440) 333-4949.Contact Information
Primary practice address
20800 Westgate Mall Ste 200
Fairview Park OH 44126-1318
Phone: (440) 333-4949
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C.1400443 | Ohio |
Profile Details
NPI number | 1588162994 |
---|---|
LBN Legal business name | Brockett, David |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 31st, 2018 |
Last updated | Jan 31st, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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