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 only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as the primary health care specialty. Brooke E. Egbert, Psy.D., Llc can be contacted via phone (570) 899-8902, or through Egbert, Brooke E 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 E PSY.D.
Phone: (570) 899-8902

Health care specialties

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

Profile Details

NPI number 1437490554
LBN Legal business name Brooke E. Egbert, Psy.D., Llc
DBA Doing business as
Authorized official Egbert, Brooke E PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2013
Last updated Mar 14th, 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 1437490554 NPPES
Pennsylvania MEDICAID 102470878 0003

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