Individual
BROOKIE L. PITCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1111 BONFORTE BLVD, PUEBLO, CO 81001-1801
(719) 545-5911
Mailing address
5310 WARD ROAD, SUITE 106, ARVADA, CO 80002-1829
(877) 838-4783
(877) 345-3501
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1505
CO
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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