Brooks, Jodene

Brooks, Jodene is an individual health care provider with primary practice located at 813 Shades Creek Pkwy Suite 202A, Birmingham AL 35209-4542. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brooks, Jodene can be contacted via phone (205) 870-5678.

Contact Information

Primary practice address
813 Shades Creek Pkwy Suite 202A Birmingham AL 35209-4542
Phone: (205) 870-5678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 680 Alabama
Behavioral Health & Social Service Providers / Psychologist 103T00000X 680 Alabama

Profile Details

NPI number 1255493573
LBN Legal business name Brooks, Jodene
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Dec 29th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255493573 NPPES
Alabama MEDICAID 000074714
Alabama Other 510-74714
Alabama MEDICAID 000073932
Alabama Other 515-93052
Alabama Other 510-73932
Alabama Other 1255493573

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