Doctor Name: | DAVID H BROCK |
NPI Number: | 1699716795 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 62 |
Business Practice Address: | 4325 Laurel St Anchorage, AK - 995085338 |
Business Phone Number: | 9077278555 |
Business Fax Number: | 9075620780 |
Mailing Address: | 8700 Pioneer Dr, ANCHORAGE |
State: | AK |
Postal Code: | 995044218 |
Phone Number: | 9077278555 |
Fax Number: | 9075620780 |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 62 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |