Brockman, Andrea R

Brockman, Andrea R is an individual health care provider with primary practice located at 4024 Central Ave , Saint Petersburg FL 33711-1239. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brockman, Andrea R can be contacted via phone (727) 327-7656.

Contact Information

Primary practice address
4024 Central Ave Saint Petersburg FL 33711-1239
Phone: (727) 327-7656
Fax: (727) 328-8978
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH17599 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180010802 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178011935 Illinois

Profile Details

NPI number 1295275097
LBN Legal business name Brockman, Andrea R
Credentials N.C.C., L.M.H.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2017
Last updated Mar 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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