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NPI Code Detail

MEDICARE: DR. PRUEDENCE C BROOKS PSYD

MEDICARE: DR. PRUEDENCE C BROOKS PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist33885TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437391836
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRUEDENCE C BROOKS PSYD
Provider Business Mailing Address
First Line : 2000 S DAIRY ASHFORD RD STE 380
Second Line :
City : HOUSTON
State : TX
Zip : 77077-5733
Country : US
Telephone Number : 281-741-2210
Fax Number : 281-741-9734
Provider Business Practice Location Address
First Line : 2000 S DAIRY ASHFORD RD STE 380
Second Line :
City : HOUSTON
State : TX
Zip : 77077-5733
Country : US
Telephone Number : 281-741-2210
Fax Number : 281-741-9734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2009
Last Update Date : 02/05/2024

Similar Medicare Providers

1811290117 — PRUEDENCE BROOKS, PSYD, PLLC
Practice Location Address:
2000 S DAIRY ASHFORD RD STE 380
HOUSTON, TX
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1508128018 — MRS. SHALONVIA REYON GUNDY MA, LPC-S
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1346897113 — 8 PHASES, PLLC
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1609448299 — ABOUND IN PEACE COUNSELING & WELLNESS, PLLC
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1245975879 — AYANA COOLEY JEFFERSON
Practice Location Address:
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1003920760 — MICHAEL E. BUXBAUM D.O.
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