| Doctor Name: | BROOKE SPEAR |
| NPI Number: | 1669765335 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 152 Monroe Ave Penndel, PA - 190474026 |
| Business Phone Number: | 2157578611 |
| Business Fax Number: | 2157578699 |
| Mailing Address: | 1723 Woodbourne Rd, Suite A-110 LEVITTOWN |
| State: | PA |
| Postal Code: | 190571510 |
| Phone Number: | 2675872310 |
| Fax Number: | 2675872305 |
| NPI Enumeration Date: | 05/27/2011 |
| NPI Last Update Date: | 05/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |