Individual
JILL BROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
205 MAIN ST, GLADSTONE, NJ 07934-2059
(908) 719-7555
(908) 719-7523
Mailing address
PO BOX 542, GLADSTONE, NJ 07934-0542
(908) 719-7555
(908) 719-7523
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35SI00290300
NJ
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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