Brooke E. Egbert, Psy.D., Llc

LBN: Brooke E. Egbert, Psy.D., Llc
Brooke E. Egbert, Psy.D., Llc is an health care organization with primary practice located at 1325 N River St Suite 206, Plains PA 18702-1838. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is the primary health care specialty. Brooke E. Egbert, Psy.D., Llc can be contacted via phone (570) 899-8902, or through Egbert, Brooke via phone (570) 899-8902.

Contact Information

Primary practice address
1325 N River St Suite 206 Plains PA 18702-1838
Phone: (570) 899-8902
Fax: (570) 824-5417
Website:
Map and Directions
Authorized official contact:
Name: Egbert, Brooke PSY.D.
Phone: (570) 899-8902

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS016379 Pennsylvania
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS016379 Pennsylvania

Profile Details

NPI number 1427324169
LBN Legal business name Brooke E. Egbert, Psy.D., Llc
DBA Doing business as
Authorized official Egbert, Brooke PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2012
Last updated Mar 8th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427324169 NPPES
Pennsylvania MEDICAID 1024708780003

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