Individual
BROCK A BOEKHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
(620) 231-9873
(620) 231-2808
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(620) 231-9873
(620) 231-2808
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1346
KS
Other
Enumeration date
03/14/2006
Last updated
12/28/2022
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