Provider Demographics
NPI:1255703005
Name:TOTMAN, BROOKE E
Entity type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:E
Last Name:TOTMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:BROOKE
Other - Middle Name:E
Other - Last Name:GRANT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MAIDEN
Mailing Address - Street 1:419 HAPPY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-3931
Mailing Address - Country:US
Mailing Address - Phone:540-252-6154
Mailing Address - Fax:
Practice Address - Street 1:700 SOUTHRIDGE PKWY STE 309
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3775
Practice Address - Country:US
Practice Address - Phone:540-825-2549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-20
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA323237700000X
VA2332237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist