Individual
DR. BROOKE COCCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1440 N ST NW APT 215, WASHINGTON, DC 20005-2815
(404) 447-6978
Mailing address
8620 ROLLING RD, MANASSAS, VA 20110-3828
(703) 577-1492
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004918
VA
Other
Enumeration date
01/06/2014
Last updated
01/13/2014
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