Individual
MS. BROOKE M VANGENDEREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
11-21 BROADWAY ST, GLOVERSVILLE, NY 12078-3968
(518) 725-4310
(518) 725-2556
Mailing address
11-21 BROADWAY ST, GLOVERSVILLE, NY 12078-3968
(518) 725-4310
(518) 725-2556
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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