Individual
DR. BEVERLY DAWN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
660 VILLAGE TRCE NE BLDG 18, PAPER MILL VILLAGE OFFICE PARK, MARIETTA, GA 30067-4081
(678) 267-6054
Mailing address
660 VILLAGE TRCE NE BLDG 18, PAPER MILL VILLAGE OFFICE PARK, MARIETTA, GA 30067-4081
(678) 267-6054
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1844
NC
103T00000X
Psychologist
Primary
PSY002831
GA
103TA0700X
Adult Development & Aging Psychologist
1844
NC
103TA0700X
Adult Development & Aging Psychologist
PSY002831
GA
106H00000X
Marriage & Family Therapist
1844
NC
106H00000X
Marriage & Family Therapist
PSY002831
GA
Other
Enumeration date
05/04/2007
Last updated
05/23/2014
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