Individual
DR. SAMUEL MARK BROTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3500 WESTGATE DR STE 900, DURHAM, NC 27707-2534
(516) 880-4536
Mailing address
3500 WESTGATE DR STE 900, DURHAM, NC 27707-2534
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810008519
VA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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