Ida Brockman, MD
Psychiatry & Neurology, Child & Adolescent Psychiatry in Mc Murray, PA. Individual provider (NPI-1).
NPI number1982164356
StatusActive
Last updated in NPPESJun 20, 2024
Details
- NPI
- 1982164356
- Entity type
- Individual (NPI-1)
- Name
- Ida Brockman
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2019
- Certification date
- Jun 20, 2024
- Last updated
- Jun 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | MD477471 | PA | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | MD477471 | PA |
Practice location
3055 Washington Rd Ste 101Mc Murray, PA 15317-3279
Phone 724-260-0550
Mailing address
3055 Washington Rd Ste 101Mc Murray, PA 15317-3279
Phone 724-260-0550
Other practice locations
200 Quinn Dr Ste 250
Pittsburgh, PA 15275-1055
Pittsburgh, PA 15275-1055
Phone 412-294-1267
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