Provider Demographics
NPI:1396260550
Name:DUNPHEY, BROOKE QUINN (NCSP)
Entity type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:QUINN
Last Name:DUNPHEY
Suffix:
Gender:F
Credentials:NCSP
Other - Prefix:MISS
Other - First Name:BROOKE
Other - Middle Name:ALLISON
Other - Last Name:QUINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NCSP
Mailing Address - Street 1:2840 NW 2ND AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6692
Mailing Address - Country:US
Mailing Address - Phone:800-233-5976
Mailing Address - Fax:
Practice Address - Street 1:2840 NW 2ND AVE STE 104
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6692
Practice Address - Country:US
Practice Address - Phone:800-233-5976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool