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Organization

JENNY VAN OVERBEKE BROOKS, PH.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNY VAN OVERBEKE BROOKS PH.D. (OWNER/PSYCHOLOGIST)
(770) 293-1950
Entity
Organization

Contact information

Practice address
4045 ORCHARD RD SE STE 110, SMYRNA, GA 30080-4904
(770) 293-1950
(770) 293-1955
Mailing address
4045 ORCHARD RD SE STE 110, SMYRNA, GA 30080-4904
(770) 293-1950
(770) 293-1955

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY003048
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
722100907A
GA
Enumeration date
08/20/2008
Last updated
01/29/2020
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