| Brooke E. Egbert, Psy.d., Llc | |
|
1325 N River St Suite 206 Plains PA 18702-1838 | |
| (570) 899-8902 | |
| (570) 824-5417 |
| Full Name | Brooke E. Egbert, Psy.d., Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1325 N River St, Plains, Pennsylvania |
| Authorized Official Name and Position | Brooke Egbert (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5708998902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke E. Egbert, Psy.d., Llc 1325 N River St Suite 206 Plains PA 18702-1838 Ph: (570) 899-8902 | Brooke E. Egbert, Psy.d., Llc 1325 N River St Suite 206 Plains PA 18702-1838 Ph: (570) 899-8902 |
| NPI Number | 1427324169 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 03/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427324169 | NPI | - | NPPES |
| 1024708780003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS016379 (Pennsylvania) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PS016379 (Pennsylvania) | Primary |
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