Provider Demographics
NPI:1972358406
Name:HULL, BROOKE KATHRYN
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:KATHRYN
Last Name:HULL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:894 OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:NEW OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:17350-8804
Mailing Address - Country:US
Mailing Address - Phone:717-698-7911
Mailing Address - Fax:
Practice Address - Street 1:2311 FAIRFIELD RD
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-6309
Practice Address - Country:US
Practice Address - Phone:717-398-2044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health