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Contact Information

KELSEY BROCKER, PSYD
6505 MARKET ST
BOARDMAN, OH44512-3457
 Phone: 330-746-8100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KELSEY BROCKER · (Female)

NPI # 1174009336
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 07/11/2018
Last updated 12/20/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OH License # P.08420
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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