Davidson, Brooke Nadine

Davidson, Brooke Nadine is an sole proprietor health care provider with primary practice located at 4700 Von Karman Ave Ste 102 , Newport Beach CA 92660-2194. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Davidson, Brooke Nadine can be contacted via phone (949) 743-1457.

Contact Information

Primary practice address
4700 Von Karman Ave Ste 102 Newport Beach CA 92660-2194
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 31050 California

Profile Details

NPI number 1538568407
LBN Legal business name Davidson, Brooke Nadine
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2014
Last updated Jun 11th, 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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