Dr Nicholas Edwin Brink, PHD is a
Psychologist - Clinical based in Coburn, Pennsylvania. Dr Nicholas Edwin Brink is licensed to practice in Pennsylvania (license number PS001028-L) and his current practice location is
125 Weaver Ave., Coburn, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(814) 349-5968.
NPI number for Dr Nicholas Edwin Brink is 1568672186 and his current mailing address is 125 Weaver Ave, Coburn, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568672186.
Healthcare Provider's Profile
Full Name | Dr Nicholas Edwin Brink |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 125 Weaver Ave., Coburn, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568672186
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Nicholas Edwin Brink such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568672186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PS001028-L (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicholas Edwin Brink is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Nicholas Edwin Brink, PHD 125 Weaver Ave, Coburn, PA 16832-0094 Ph: (814) 349-5968 | Dr Nicholas Edwin Brink, PHD 125 Weaver Ave., Coburn, PA 16832-0094 Ph: (814) 349-5968 |
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