| Pruedence Brooks, Psyd, Pllc | |
|
2000 S Dairy Ashford Rd Ste 380 Houston TX 77077-5733 | |
| (281) 741-2210 | |
| (281) 741-9734 |
| Full Name | Pruedence Brooks, Psyd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2000 S Dairy Ashford Rd Ste 380, Houston, Texas |
| Authorized Official Name and Position | Pruedence Brooks (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 2817412210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pruedence Brooks, Psyd, Pllc 2000 S Dairy Ashford Rd Ste 380 Houston TX 77077-5733 Ph: (281) 741-2210 | Pruedence Brooks, Psyd, Pllc 2000 S Dairy Ashford Rd Ste 380 Houston TX 77077-5733 Ph: (281) 741-2210 |
| NPI Number | 1811290117 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 3779745419 |
|---|---|
| Medicare Enrollment ID | O20120425000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811290117 | NPI | - | NPPES |
| 2003766-02 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 33885 (Texas) | Primary |
| Provider Name | Pruedence C Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437391836 PECOS PAC ID: 6800946872 Enrollment ID: I20090612000265 |
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