| Doctor Name: | DR. BROOKE ASHLEY DEAN |
| NPI Number: | 1972744761 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH. D. |
| License Number: | 753 |
| Business Practice Address: | 1203 Paris Ave Port Royal, SC - 299352118 |
| Business Phone Number: | 8435259255 |
| Business Fax Number: | 8439860744 |
| Mailing Address: | 1203 Paris Ave, PORT ROYAL |
| State: | SC |
| Postal Code: | 299352118 |
| Phone Number: | 8435259255 |
| Fax Number: | 8439860744 |
| NPI Enumeration Date: | 03/09/2009 |
| NPI Last Update Date: | 03/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 753 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |