NPI 1104009620

Jonathan Keith Brooks, PHD

Practitioner Clinical Psychologist Evergreen, CO

Practice location

Address: 29029 Upper Bear Creek Rd STE 305, Evergreen, CO 80439-7722
Phone: (303) 838-7595
Mailing address: PO Box 1532, Conifer, CO 80433-1532

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 2815 (CO)

Other Psychologist providers in Colorado →

Registry record

NPI: 1104009620
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2007
Record last updated: 6 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.