| Organization Name: | MICHELE MYRUS-BROOKS |
| NPI Number: | 1376698274 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELE MYRUS-BROOKS (SCHOOL PSYCHOLOGIST) |
| Mailing Address: | 11279 W Grier Rd Marana |
| State: | AZ US |
| Postal Code: | 856539609 |
| Phone Number: | 5206824782 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |