NPI 1114495603

Deangelo Brooks

Practitioner Military Health Care Provider Shreveport, LA

Practice location

Address: 1105 Island Park Blvd APT 1126, Shreveport, LA 71105-4783
Phone: (318) 404-7134
Mailing address: 5720 S Lakeshore Dr APT 605, Shreveport, LA 71119-3930

Registered specialties (2)

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in Louisiana →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Louisiana →

Registry record

NPI: 1114495603
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Nov 2018
Record last updated: 22 Sep 2020

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.