Doctor Name: | DR. TIRSIT A BROOKS |
NPI Number: | 1376603951 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 1419 |
Business Practice Address: | 149 Hart Street 82 Medical Group, Sgh Sheppard Afb, TX - 763113482 |
Business Phone Number: | 9406766075 |
Business Fax Number: | |
Mailing Address: | 5601 Central Fwy #122, WICHITA FALLS |
State: | TX |
Postal Code: | 76305 |
Phone Number: | 9408510244 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 1419 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |