Most Relevant Information
Provider Data
| NPI Number: | 1003048497 |
| Provider Name: | BROOKE KISH PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC2200X |
| Specialty: | Psychologist |
| License Number: | 3319 |
Most Important Dates
| Enumeration Date: | 08/18/2009 |
| Last Updated: | 08/18/2009 |
Provider Practice Location
9397 CROWN CREST BLVD
PARKER
CO
801388575
Practice Location Phone/Fax
| Phone: | 3033492691 |
| Fax: |
Provider Mailing Location
30424 UPPER BEAR CREEK RD
EVERGREEN
CO
804397715
Provider Mailing Phone/Fax
| Phone: | 3033492691 |
| Fax: |