Individual
DR. DAVID MICHAEL BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009978
IL
103TC0700X
Clinical Psychologist
PSY 20877
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1143651
CAQH IDENTIFIER
—
01
—
1174503403
CIGNA HEALTHCARE/CBH
CA
01
—
OPL208770
BLUE SHIELD OF CALIFORNIA
CA
01
—
W20435
MEDICARE GROUP ID
CA
Enumeration date
01/20/2006
Last updated
08/10/2024
Update your record
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