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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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