Individual
BROOKE NADINE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4700 VON KARMAN AVE STE 102, NEWPORT BEACH, CA 92660-2194
(949) 743-1457
Mailing address
4700 VON KARMAN AVE, STE 102, NEWPORT BEACH, CA 92660-2194
(949) 743-1457
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31050
CA
Other
Enumeration date
08/17/2014
Last updated
06/11/2020
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