Individual
DR. NICHOLAS EDWIN BRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
125 WEAVER AVE., COBURN, PA 16832-0094
(814) 349-5968
(814) 349-5968
Mailing address
125 WEAVER AVE, COBURN, PA 16832-0094
(814) 349-5968
(814) 349-5968
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS001028-L
PA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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