Organization
BROOK LANE HEALTH SERVICES
Active
Other names
PSYCHOLOGIST GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FLOYD KLAUKA (CFO)
(301) 733-0330
Entity
Organization
Contact information
Practice address
13218 BROOKLANE DR, HAGERSTOWN, MD 21742-1435
(301) 733-0330
(301) 733-4038
Mailing address
PO BOX 1945, HAGERSTOWN, MD 21742-1945
(301) 733-0330
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/01/2006
Last updated
08/22/2020
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