Individual
DR. MONICA S. BROOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
2365 W CENTRAL AVE, EL DORADO, KS 67042-3208
(316) 321-6036
(316) 321-6336
Mailing address
2365 W CENTRAL AVE, EL DORADO, KS 67042-3208
(316) 321-6036
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 1780
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070784
BC/BS PROVIDER
KS
01
—
826-3468
CONSORTIUM PROVIDER
KS
Enumeration date
05/03/2006
Last updated
08/06/2009
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