Brooke Elizabeth Balderson
Individual provider Active NPI Marriage & Family Therapist · Manhattan, KS
NPI 1053095489 · NPPES record last updated Jun 14, 2023
Key facts
- NPI
- 1053095489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 3333 (KS)
- Practice address
- 210 N Evergreen Ave
Manhattan, KS 66502-3808 - Phone
- (785) 556-4264
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3333 | KS | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3333 | KS | Yes |
Addresses
Primary practice location
210 N Evergreen Ave
Manhattan, KS 66502-3808
Mailing address
PO Box 1673
Manhattan, KS 66505-1673
Other providers in Manhattan, KS
- Ellana Baird
- Laura Lee Baird
- Anthony Moss Baker
- Bella Nicole Baker
- Richard B. Baker Jr.
- Tonya Jean Baldwin
- Morgan Ball
- John F. Bambara
- Jessi Nicole Bandy
- Danielle Shante Banks
All providers in Manhattan, KS · Marriage & Family Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.