Individual
LAWRENCE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3810 HOLLYWOOD BLVD, SUITE 2, HOLLYWOOD, FL 33021-6779
(954) 962-3888
(954) 962-3936
Mailing address
3810 HOLLYWOOD BLVD, SUITE 2, HOLLYWOOD, FL 33021-6779
(954) 962-3888
(954) 962-3936
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY 8127
FL
103T00000X
Psychologist
PY 8127
FL
Other
Enumeration date
09/07/2010
Last updated
04/02/2013
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