MS. STACEY LINN BROOKENS


Address: 77 N 3rd St Ste 201, Chambersburg, PA 17201-1812
Phone: 7174968127

MS. STACEY LINN BROOKENS (NPI# 1689151318) 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) 1689151318
Entity Type Individual
Full Name MS. STACEY LINN BROOKENS
Credential MS LBS
Practice Address 77 N 3rd St Ste 201
Chambersburg
PA 17201-1812
Practice Telephone 7174968127
Practice Fax Number 7175048962
Mailing Telephone 7174968127
Mailing Fax Number 7175048962
Enumeration Date 2018-07-25
Last Update Date 2018-07-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers

Office Location

Street Address 77 N 3RD ST STE 201
City CHAMBERSBURG
State PA
Zip Code 17201-1812

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1972059202 Lindsey Rae Hyatt Physician Assistant 761 Park Fifth Avenue, Chambersburg, PA 17201 2016-08-28
1093176943 Marcia Rebert Counselor 1212 Progress Road, Chambersburg, PA 17201 2016-03-18
1669833471 Visionworks, Inc. Eyewear Supplier (Equipment, not the service) 968 Norland Avenue, Chambersburg, PA 17201 2016-03-08
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1205470176 Thomas Anderson Smith Psychologist 491 Allendale Rd Ste 320, King of Prussia, PA 19406-1432 2019-11-04
1841849460 Colleen Mary Harker Psychologist 1518 Walnut St Ste 1506, Philadelphia, PA 19102-3408 2019-09-06
1548815814 Estee Hausman Psychologist 337 Moore Bldg, State College, PA 16802-3103 2019-08-05
1326512005 Lydia Brill Psychologist 480 Pierce St Ste 109, Kingston, PA 18704-5512 2019-01-16
1144710039 Pamela Marie Cole Psychologist 3rd Floor, Moore Building, Penn State University, University Park, PA 16802 2018-05-16
1326536749 Rebecca Kanine Psychologist 2716 South St Fl 8, Philadelphia, PA 19146-2305 2018-05-01
1275048654 Dominic J. Deluigi Phd LLC Psychologist 500 Market St., Sutei 204b, Beaver, PA 15009 2017-12-07
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Competitor

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City CHAMBERSBURG
Zip Code 17201

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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