Doctor Name: | ROBERT HENRY BRICK |
NPI Number: | 1174510176 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED D |
License Number: | PS4764 L |
Business Practice Address: | 5210 Linton Blvd Suite 204 Delray Beach, FL - 334846542 |
Business Phone Number: | 5616383839 |
Business Fax Number: | 5616383379 |
Mailing Address: | 5210 Linton Blvd., Suite 204 DELRAY BEACH |
State: | FL |
Postal Code: | 334846537 |
Phone Number: | 5616383839 |
Fax Number: | 5616383379 |
NPI Enumeration Date: | 10/04/2005 |
NPI Last Update Date: | 08/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PS4764 L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |