Provider Demographics
NPI:1992116057
Name:STRANGE, BROOKE L (LBS, EDS, MFT, NCC)
Entity type:Individual
Prefix:MS
First Name:BROOKE
Middle Name:L
Last Name:STRANGE
Suffix:
Gender:F
Credentials:LBS, EDS, MFT, NCC
Other - Prefix:
Other - First Name:BROOKIE
Other - Middle Name:
Other - Last Name:STRANGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LBS, EDS, MFT, NCC
Mailing Address - Street 1:401 MINERAL ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-4043
Mailing Address - Country:US
Mailing Address - Phone:610-247-1166
Mailing Address - Fax:
Practice Address - Street 1:390 WATERLOO BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2603
Practice Address - Country:US
Practice Address - Phone:610-363-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-12
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH001361106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist