Cherish Marie Brooks, LPA
Individual provider Active NPI Psychologist · Cleveland, TX
NPI 1164085106 · NPPES record last updated Apr 16, 2019
Key facts
- NPI
- 1164085106
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 38184 (TX)
- Practice address
- 1103 Crescent Blvd
Cleveland, TX 77327-5214 - Phone
- (737) 207-0700
- NPI assigned
- Apr 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 38184 | TX | MD | Nutrition Support Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 38184 | TX | Yes |
Addresses
Primary practice location
1103 Crescent Blvd
Cleveland, TX 77327-5214
Mailing address
1103 Crescent Blvd
Cleveland, TX 77327-5214
Phone (737) 207-0700
Other providers in Cleveland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2019. 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.