Provider Demographics
NPI:1780427963
Name:BROOKS, KATHY PARTHENIA (BEHAVIORAL THERAPIST)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:PARTHENIA
Last Name:BROOKS
Suffix:
Gender:F
Credentials:BEHAVIORAL THERAPIST
Other - Prefix:MS
Other - First Name:KATHY
Other - Middle Name:P
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:KATHY BROOKS
Mailing Address - Street 1:PO BOX 360595
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-6595
Mailing Address - Country:US
Mailing Address - Phone:718-215-5311
Mailing Address - Fax:718-865-5165
Practice Address - Street 1:PO BOX 360595
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15251-6595
Practice Address - Country:US
Practice Address - Phone:718-215-5311
Practice Address - Fax:718-865-5165
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician