Provider Demographics
NPI:1811613821
Name:STROUD, BROOKE (PSYD)
Entity type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:
Last Name:STROUD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3259 R ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2941
Mailing Address - Country:US
Mailing Address - Phone:202-510-5290
Mailing Address - Fax:
Practice Address - Street 1:3222 N ST NW STE 300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2895
Practice Address - Country:US
Practice Address - Phone:202-510-5290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-12
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist