Lois P. Brooks, ED.D.
Individual provider Active NPI Psychologist · Stanwood, MI
NPI 1730299199 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730299199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 6301002506 (MI)
- Practice address
- 6977 Abbey LN
Stanwood, MI 49346-8994 - Phone
- (231) 972-5249
- Fax
- (231) 972-5249
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301002506 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L. P. Brooks, Ed.D., PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301002506 | MI | Yes |
Addresses
Primary practice location
6977 Abbey LN
Stanwood, MI 49346-8994
Mailing address
6977 Abbey LN
Stanwood, MI 49346-8994
Phone (231) 972-5249
Other providers in Stanwood, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.