Individual
SPENCER BROOKBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S., NCSP
Contact information
Practice address
5937 COVE RD, ROANOKE, VA 24019-2403
(540) 562-3900
Mailing address
1901 BRIGHTON RD SW, ROANOKE, VA 24015-3013
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS-0608268
VA
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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