Dr. Jeannie Shayna Brooks, PsyD
Psychologist, Clinical in Delray Beach, FL. Individual provider (NPI-1).
NPI number1366648370
StatusActive
Last updated in NPPESApr 20, 2010
Details
- NPI
- 1366648370
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeannie Shayna Brooks
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2007
- Last updated
- Apr 20, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 7961 | FL | Yes |
| 103T00000X | Psychologist | 017781 | NY | |
| 282N00000X | General Acute Care Hospital | 017781 | NY | |
| 103TF0200X | Psychologist, Forensic | 7961 | FL | |
| 103TB0200X | Psychologist, Cognitive & Behavioral | 7961 | FL | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 7961 | FL |
Practice location
1850 Homewood Blvd Apt 217Delray Beach, FL 33445-6894
Phone 954-854-6145
Mailing address
1850 Homewood Blvd#217
Delray Beach, FL 33445-6918
Phone 954-854-6145
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