Organization
DAVID M BROOKS PHD PSYCHOLOGICAL SERVICES PC
Active
Other names
David M Brooks PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL BROOKS PH.D. (OWNER AND PRESIDENT)
(310) 498-0555
Entity
Organization
Contact information
Practice address
3800 N LAKE SHORE DR # 5E, CHICAGO, IL 60613-3301
(310) 498-0555
Mailing address
3800 N LAKE SHORE DR # 5E, CHICAGO, IL 60613-3301
(310) 498-0555
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY 20877
CA
103TC0700X
Clinical Psychologist
Primary
—
—
103TP0814X
Psychoanalysis Psychologist
PSY 20877
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174503403
CIGNA HEALTHCARE/CBH
CA
01
—
ZZZ56245Y
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
02/19/2009
Last updated
08/09/2024
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