Organization
RUSSELL E. BROOKER, ED.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL EDWIN BROOKER ED.D. (PSYCHOLOGIST)
(404) 873-6178
Entity
Organization
Contact information
Practice address
181 14TH ST NE, SUITE 450, ATLANTA, GA 30309-3674
(404) 873-6178
(404) 873-0342
Mailing address
181 14TH ST NE, SUITE 450, ATLANTA, GA 30309-3674
(404) 873-6178
(404) 873-0342
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
360
GA
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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