Individual
JOSEPH GAIUS BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7613
(505) 291-2770
(505) 291-2706
Mailing address
PO BOX 26666, PRESBYTERIAN HEALTHCARE SERVICES, ALBUQUERQUE, NM 87125-6666
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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