| Doctor Name: | MS. BROOKE KRISTINA POQUETTE |
| NPI Number: | 1598828642 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | S2811 |
| Business Practice Address: | 305 Ellis St Carthage, MS - 390513808 |
| Business Phone Number: | 6012673241 |
| Business Fax Number: | 6012670209 |
| Mailing Address: | 192 Cobblestone Dr, MADISON |
| State: | MS |
| Postal Code: | 391109100 |
| Phone Number: | 6016500002 |
| Fax Number: | 6016509902 |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | S2811 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |