Doctor Name: | DR. DAVID HEBER BROOKS |
NPI Number: | 1043432578 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 30 Phelps Avenue Romeoville, IL - 60446 |
Business Phone Number: | 8153728950 |
Business Fax Number: | 8153728960 |
Mailing Address: | 30 Phelps Avenue, ROMEOVILLE |
State: | IL |
Postal Code: | 60446 |
Phone Number: | 8153728950 |
Fax Number: | 8153728960 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |