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Contact Information

BROOKE BAXTER, PhD
175 BERNAL RD
SUITE 230
SAN JOSE, CA95119-1343
 Phone: 408-362-4350
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BROOKE BAXTER · (Female)

NPI # 1013100288
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/22/2007
Last updated 08/22/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 21639
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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