Individual
LAURA BROCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
4000 NJ-66, SUITE 331, TINTON FALLS, NJ 07753
(732) 988-3441
Mailing address
4000 NJ-66, SUITE 331, TINTON FALLS, NJ 07753
(732) 988-3441
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
253-003
NJ
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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