Individual
JOSEPH GAIUS BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
701
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00033197
—
NM
01
—
00JA91
BCBS
NM
Enumeration date
10/11/2006
Last updated
01/20/2016
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