Brooke Louise Haseltine, is a
Psychologist based in Arlington, Virginia. Brooke Louise Haseltine is licensed to practice in Virginia (license number 0810008895) and her current practice location is
4401 Fairfax Dr Ste 205, Arlington, Virginia. She can be reached at her office (for appointments etc.) via phone at
(571) 328-7408.
NPI number for Brooke Louise Haseltine is 1053954297 and her current mailing address is 4401 Fairfax Dr Ste 205, Arlington, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053954297.
Healthcare Provider's Profile
| Full Name | Brooke Louise Haseltine |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 4401 Fairfax Dr Ste 205, Arlington, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053954297
- Provider Enumeration Date: 10/21/2019
- Last Update Date: 04/23/2025
Medical Identifiers
Medical identifiers for Brooke Louise Haseltine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053954297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 009975 (New York) | Secondary |
| 101YM0800X | Counselor - Mental Health | 0701008101 (Virginia) | Secondary |
| 103T00000X | Psychologist | 0810008895 (Virginia) | 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. Brooke Louise Haseltine 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 |
|---|
Brooke Louise Haseltine,
4401 Fairfax Dr Ste 205,
Arlington, VA 22203-1622
Ph: () - | Brooke Louise Haseltine,
4401 Fairfax Dr Ste 205,
Arlington, VA 22203-1622
Ph: (571) 328-7408 |
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