Individual
DR. MIKE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6012 W WILLIAM CANNON DR STE B103, AUSTIN, TX 78749-1978
(512) 891-1500
(512) 857-7679
Mailing address
6012 W WILLIAM CANNON DR STE B103, AUSTIN, TX 78749-1978
(512) 891-1500
(512) 857-7679
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31394
TX
103TB0200X
Cognitive & Behavioral Psychologist
31394
TX
103TC0700X
Clinical Psychologist
31394
TX
103TC1900X
Counseling Psychologist
31394
TX
103TS0200X
School Psychologist
31394
TX
Other
Enumeration date
09/28/2006
Last updated
06/24/2010
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