Doctor Name: | DR. DANIEL D BRINKMAN |
NPI Number: | 1265588255 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CP |
License Number: | PY00001993 |
Business Practice Address: | 1610 Grover St Suite D-1 Lynden, WA - 982641539 |
Business Phone Number: | 3603541333 |
Business Fax Number: | 3603545399 |
Mailing Address: | Po Box 331, LYNDEN |
State: | WA |
Postal Code: | 982640331 |
Phone Number: | 3603988127 |
Fax Number: | 3603545399 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 05/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY00001993 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |