| Steven Brooks Pc | |
|
1133 S State Rd Ste 5 Davison MI 48423-1963 | |
| (810) 278-6693 | |
| (810) 652-6263 |
| Full Name | Steven Brooks Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1133 S State Rd Ste 5, Davison, Michigan |
| Authorized Official Name and Position | Steven Mark Brooks (PSYCHOLOGIST) |
| Authorized Official Contact | 8102786693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Brooks Pc 1133 S State Rd Ste 5 Davison MI 48423-1963 Ph: (810) 278-6693 | Steven Brooks Pc 1133 S State Rd Ste 5 Davison MI 48423-1963 Ph: (810) 278-6693 |
| NPI Number | 1427575034 |
|---|---|
| Provider Enumeration Date | 08/24/2017 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Medicare PECOS PAC ID | 6305112939 |
|---|---|
| Medicare Enrollment ID | O20171025002583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427575034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 6301007639 (Michigan) | Primary |
| Provider Name | Steven M Brooks |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1801986708 PECOS PAC ID: 4486910288 Enrollment ID: I20171110002217 |
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