Individual
ROGER W BROOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
224 PENN AVE, SUITE 2A, WILKINSBURG, PA 15221-2154
(412) 371-7330
(412) 242-4732
Mailing address
224 PENN AVE, SUITE 2A, WILKINSBURG, PA 15221-2154
(412) 371-7330
(412) 242-4732
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS007832L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118389
VALUEOPTIONS
PA
05
—
1601598
—
PA
01
—
526417
HIGHMARK BC BS
PA
01
—
680008001
RAILROAD MEDICARE
PA
Enumeration date
05/25/2006
Last updated
07/05/2008
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