Brockway, David

Brockway, David is an sole proprietor health care provider with primary practice located at 3730 18Th Ave N , St Petersburg FL 33713-4816. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Brockway, David can be contacted via phone (727) 666-2429.

Contact Information

Primary practice address
3730 18Th Ave N St Petersburg FL 33713-4816
Phone: (727) 666-2429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 102L00000X Vermont
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0471010316 Florida

Profile Details

NPI number 1821494022
LBN Legal business name Brockway, David
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2014
Last updated May 19th, 2016 - about 10 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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