DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. ANN LORENE BROCK PSY. D.

MEDICARE: DR. ANN LORENE BROCK PSY. D.
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
1103T00000XPsychologistPSY002481GA

General Provider Information

NPI Number : 1659415917
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN LORENE BROCK PSY. D.
Provider Business Mailing Address
First Line : 6315 GARDEN WALK BLVD
Second Line :
City : RIVERDALE
State : GA
Zip : 30274-2628
Country : US
Telephone Number : 770-991-7420
Fax Number : 770-991-7429
Provider Business Practice Location Address
First Line : 6315 GARDEN WALK BLVD
Second Line :
City : RIVERDALE
State : GA
Zip : 30274-2628
Country : US
Telephone Number : 770-991-7420
Fax Number : 770-991-7429
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1194929117 — MRS. ROSALYN M. GARNER LCSW
Practice Location Address:
6315 GARDEN WALK BLVD
RIVERDALE, GA
30274-2628
Practice Phone: 770-991-7420
Practice Fax: 770-991-7429
1639367543 — CLAYTON MHDDAD
Practice Location Address:
6315 GARDEN WALK BLVD
RIVERDALE, GA
30274-2628
Practice Phone: 770-991-7420
Practice Fax: 770-991-7429
1356584304 — MS. RHONDA DENISE COOPER RN
Practice Location Address:
6315 GARDEN WALK BLVD
RIVERDALE, GA
30274-2628
Practice Phone: 770-991-7420
Practice Fax: 770-991-7429
1689801987 — MICHELLE A NIX LAPC
Practice Location Address:
6315 GARDEN WALK BLVD
RIVERDALE, GA
30274-2628
Practice Phone: 770-991-7420
Practice Fax: 770-991-7429
1265791537 — MRS. LAKEITHA HOWARD
Practice Location Address:
6315 GARDEN WALK BLVD
RIVERDALE, GA
30274-2628
Practice Phone: 770-991-7420
Practice Fax:
1790167799 — CRISTIAN CARBUCCIA MENDEZ
Practice Location Address:
33 UPPER RIVERDALE RD SW STE 10
RIVERDALE, GA
30274
Practice Phone: 770-897-7043
Practice Fax:

Directions to “ DR. ANN LORENE BROCK PSY. D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.