Individual
DR. DOUGLAS A BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2702 CUNNINGHAM AVE, STE A, JOPLIN, MO 64804-1570
(417) 782-1910
(417) 782-1844
Mailing address
2702 CUNNINGHAM AVE, STE A, JOPLIN, MO 64804-1570
(417) 782-1910
(417) 782-1844
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00218
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240090B
—
KS
05
—
493312300
—
MO
Enumeration date
11/04/2005
Last updated
04/11/2014
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