Doctor Name: | DR. TERI M BROOKS |
NPI Number: | 1467670950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 796 |
Business Practice Address: | 36 Upper River Road Newfane, VT - 05345 |
Business Phone Number: | 8023800525 |
Business Fax Number: | |
Mailing Address: | Po Box 178, NEWFANE |
State: | VT |
Postal Code: | 053450178 |
Phone Number: | 8023800525 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 03/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 796 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |