Organization
REBECCA PRATHER BROOKS, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA PRATHER BROOKS PHD (OWNER)
(816) 309-5211
Entity
Organization
Contact information
Practice address
2746 GULF BREEZE PKWY, SUITE B, GULF BREEZE, FL 32563-3091
(850) 932-2746
Mailing address
2746 GULF BREEZE PKWY, SUITE B, GULF BREEZE, FL 32563-3091
(850) 932-2746
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY01839
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851387963
PERSONAL NPI
—
Enumeration date
04/03/2014
Last updated
11/09/2016
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