Deanne A Brooks, SSP
Psychologist, School in Nauvoo, IL. Individual provider (NPI-1).
NPI number1164035846
StatusActive
Last updated in NPPESAug 24, 2020
Details
- NPI
- 1164035846
- Entity type
- Individual (NPI-1)
- Name
- Deanne A Brooks
- Credential
- SSP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2020
- Certification date
- Aug 24, 2020
- Last updated
- Aug 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 317750 | IL | Yes |
Practice location
2461 N State Highway 96Nauvoo, IL 62354-2200
Phone 217-453-2231
Mailing address
2421 E County Road 1800 NCarthage, IL 62321-3102
Phone 217-357-4900
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