Provider Demographics
NPI:1457492621
Name:BROOKS-KLEIN, VALERIE L (PHD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:L
Last Name:BROOKS-KLEIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 QUAKERBRIDGE RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1288
Mailing Address - Country:US
Mailing Address - Phone:698-586-6610
Mailing Address - Fax:609-586-6218
Practice Address - Street 1:3705 QUAKERBRIDGE RD
Practice Address - Street 2:SUITE 204
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1288
Practice Address - Country:US
Practice Address - Phone:698-586-6610
Practice Address - Fax:609-586-6218
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3627103T00000X, 103T00000X, 103TC0700X, 103TB0200X, 103TH0004X, 103TC1900X
NJ03627103TS0200X
NJNJ #3627103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling