MISS BROOKE NICOLE SANDERSON


Address: 95 Enterprise St Ste 104, Elizabeth, PA 15037-2070
Phone: (412) 370-4848

MISS BROOKE NICOLE SANDERSON (NPI# 1871842591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871842591
Entity Type Individual
Full Name MISS BROOKE NICOLE SANDERSON
Credential PSYD
Practice Address 95 Enterprise St Ste 104
Elizabeth
PA 15037-2070
Practice Telephone (412) 370-4848
Mailing Telephone (412) 370-4848
Enumeration Date 2012-09-10
Last Update Date 2017-06-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
PC006524 PA Behavioral Health & Social Service Providers
Y 103TC1900X Psychologist
Specialization: Counseling
PS018190 PA Behavioral Health & Social Service Providers

Office Location

Street Address 95 ENTERPRISE ST STE 104
City ELIZABETH
State PA
Zip Code 15037-2070

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710599147 Abigail Audenried Counselor 95 Enterprise St Ste 104, Elizabeth, PA 15037-2070 2020-08-18
1679998033 Catherine Michelle Slafka Counselor 95 Enterprise St Ste 104, Elizabeth, PA 15037-2070 2014-02-21

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1689638223 Christopher R Greenawalt Chiropractor 214 Second Ave., Elizabeth, PA 15037 2006-04-12
1821078924 Theodore R Sames Jr. Optometrist 238 Cresswood Dr, Elizabeth, PA 15037 2006-01-17
1912984931 Douglas Skinner Family Medicine 300 Scenery Drive, Elizabeth Township Family Medicine PC, Elizabeth, PA 15037 2005-12-30
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457556847 Emil Affsa IIi Psychologist 655 E Jersey St, Dept. of Behavioral Health & Psychiatry, Elizabeth, NJ 07206-1259 2007-06-18

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1669005203 North Shore Counseling Services Psychologist 901 Western Ave Ste 202, Pittsburgh, PA 15233-1719 2020-02-21
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1780241661 Gregory Tucker Psychologist 780 E Market St Ste 220&230, West Chester, PA 19382-4882 2019-05-25
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Competitor

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City ELIZABETH
Zip Code 15037

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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