# BROOKE E. EGBERT, PSY.D., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437490554
- **Authorized official:** DR. BROOKE E EGBERT PSY.D. (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (570) 899-8902

## Contact information

- **Practice address:** 1325 N RIVER ST, SUITE 206, PLAINS, PA 18702-1838
- **Practice address phone:** (570) 899-8902
- **Practice address fax:** (570) 824-5417
- **Mailing address:** 317 VISTA DR, SHAVERTOWN, PA 18708-9317
- **Mailing address phone:** (570) 899-8902
- **Mailing address fax:** (570) 824-5417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PS016379 | PA | Yes |

## Other

- **Enumeration date:** 03/14/2013
- **Last updated:** 03/14/2013