Individual
BROOKE CHRISTIAN SHRINER
Active
Individual
BROOKE CHRISTIAN SHRINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
130741
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000709956
ANTHEM BC/BS
KY
05
—
201012380A
—
IN
05
—
300000550 (KOHMG)
—
IN
05
—
7100153420
—
KY
Enumeration date
09/23/2009
Last updated
05/01/2017
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