| Doctor Name: | BROOKE J WHALEN |
| NPI Number: | 1043405335 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 0890001202 |
| Business Practice Address: | 215 Stratton Rd Rutland, VT - 057014621 |
| Business Phone Number: | 8027733386 |
| Business Fax Number: | 8027734578 |
| Mailing Address: | 215 Stratton Rd, RUTLAND |
| State: | VT |
| Postal Code: | 057014621 |
| Phone Number: | 8028552027 |
| Fax Number: | 8028552053 |
| NPI Enumeration Date: | 09/10/2007 |
| NPI Last Update Date: | 08/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0890001202 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |