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Organization
BROOKE E. EGBERT, PSY.D., LLC
Active
Organization
BROOKE E. EGBERT, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKE EGBERT PSY.D. (CLINICAL PSYCHOLOGIST)
(570) 899-8902
Entity
Organization
Contact information
Practice address
1325 N RIVER ST, SUITE 206, PLAINS, PA 18702-1838
(570) 899-8902
(570) 824-5417
Mailing address
1325 N RIVER ST, SUITE 206, PLAINS, PA 18702-1838
(570) 899-8902
(570) 824-5417
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS016379
PA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS016379
PA
Other
Enumeration date
03/27/2012
Last updated
03/08/2013
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