Individual
DR. KELSEY BROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6505 MARKET ST, BOARDMAN, OH 44512-3457
(330) 746-8100
Mailing address
305 SLEEPY HOLLOW DR, CANFIELD, OH 44406-1063
(912) 414-9306
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.08420
OH
Other
Enumeration date
07/11/2018
Last updated
12/20/2022
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