Brooke Bull, LMFT
Individual provider Active NPI Marriage & Family Therapist · Northampton, MA
NPI 1750831897 · NPPES record last updated Oct 13, 2016
Key facts
- NPI
- 1750831897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1558 (MA)
- Practice address
- 48 Ward Ave
Northampton, MA 01060-2821 - Phone
- (505) 440-8822
- NPI assigned
- Oct 13, 2016
- 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 |
|---|---|---|---|
| 1558 | MA | MD | Marriage & Family Therapist |
| 202 | NH | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1558 | MA | Yes |
| Marriage & Family Therapist | 106H00000X | 202 | NH |
Addresses
Primary practice location
48 Ward Ave
Northampton, MA 01060-2821
Mailing address
48 Ward Ave
Northampton, MA 01060-2821
Phone (505) 440-8822
Other providers in Northampton, MA
- Jennifer Bryan
- Rebecca Bryer
- Tristyn Buck
- Charley William Buckley
- Kelly M Buckley
- Carole Bull
- Joni Skinner Bullough
- Caitlin Bunning
- Deborah J Burkhalter
- Carolyn J Burns
All providers in Northampton, MA · Marriage & Family Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2016. 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.