| Stephan Brookens | |
|
1554 E Walnut Ln Philadelphia PA 19138-1608 | |
| (484) 938-8732 | |
| Not Available |
| Full Name | Stephan Brookens |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1554 E Walnut Ln, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Stephan Safon Brookens (LICENSED BEHAVIOR SPECIALIST) |
| Authorized Official Contact | 4849388732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephan Brookens 1554 E Walnut Ln Philadelphia PA 19138-1608 Ph: (484) 938-8732 | Stephan Brookens 1554 E Walnut Ln Philadelphia PA 19138-1608 Ph: (484) 938-8732 |
| NPI Number | 1205235009 |
|---|---|
| Provider Enumeration Date | 08/18/2014 |
| Last Update Date | 08/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205235009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH001289 (Pennsylvania) | Primary |
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