| Doctor Name: | DR. WILLIAM PHILIP BROCKMAN |
| NPI Number: | 1033129572 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED.D. |
| License Number: | 0701000344 |
| Business Practice Address: | 11825 Rock Landing Dr The James Building Newport News, VA - 236064236 |
| Business Phone Number: | 7578731736 |
| Business Fax Number: | 7578731028 |
| Mailing Address: | 11825 Rock Landing Dr, The James Building NEWPORT NEWS |
| State: | VA |
| Postal Code: | 236064236 |
| Phone Number: | 7578731736 |
| Fax Number: | 7578731028 |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0701000344 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |