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NPI Code Detail

MEDICARE: REBECCA PRATHER BROOKS, PHD, LLC

MEDICARE: REBECCA PRATHER BROOKS, PHD, LLC
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
1103TC1900XCounseling PsychologistPY01839MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11851387963OTHERPERSONAL NPI

General Provider Information

NPI Number : 1437577616
Entity Type Code : Organization
Provider Name (Legal Business Name) : REBECCA PRATHER BROOKS, PHD, LLC
Provider Business Mailing Address
First Line : 2746 GULF BREEZE PKWY
Second Line : SUITE B
City : GULF BREEZE
State : FL
Zip : 32563-3091
Country : US
Telephone Number : 850-932-2746
Fax Number :
Provider Business Practice Location Address
First Line : 2746 GULF BREEZE PKWY
Second Line : SUITE B
City : GULF BREEZE
State : FL
Zip : 32563-3091
Country : US
Telephone Number : 850-932-2746
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. REBECCA PRATHER BROOKS
Credential : PHD
Telephone Number : 816-309-5211
Provider Enumeration Date : 04/03/2014
Last Update Date : 11/09/2016

Similar Medicare Providers

1851387963 — DR. REBECCA PRATHER BROOKS PH.D.
Practice Location Address:
2746 GULF BREEZE PKWY , SUITE B
GULF BREEZE, FL
32563-3091
Practice Phone: 850-932-2746
Practice Fax:
1902895394 — DEBRA LYNN HEMPHILL ARNP
Practice Location Address:
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Practice Fax:
1467763326 — MRS. PAMELA YVETTE LEE ARNP
Practice Location Address:
2744 GULF BREEZE PKWY
GULF BREEZE, FL
32563-3091
Practice Phone: 509-345-7138
Practice Fax: 850-934-0379
1770902462 — PRIMARY CARE HOUSE CALLS PA
Practice Location Address:
2744 GULF BREEZE PKWY
GULF BREEZE, FL
32563-3091
Practice Phone: 850-934-5713
Practice Fax: 850-934-0379
1609570969 — TERESA TESHEA TEEL APRN
Practice Location Address:
2744 GULF BREEZE PKWY
GULF BREEZE, FL
32563-3091
Practice Phone: 850-934-5713
Practice Fax: 850-934-0379
1821781212 — JULIE MARIE MEADS
Practice Location Address:
2744 GULF BREEZE PKWY
GULF BREEZE, FL
32563-3091
Practice Phone: 850-934-5713
Practice Fax: 850-934-0379

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