Kelsey Brocker, PSYD

Clinical Psychologist · Boardman, OH

Individual Active NPI

NPI number 1174009336

Practice location

6505 Market St
Boardman, OH 44512-3457
Phone
(330) 746-8100

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NPI record

NPI
1174009336
Entity type
Individual (Type 1)
Enumeration date
July 11, 2018
Last updated
December 20, 2022
Certified
December 20, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X P.08420 OH

Mailing address

305 Sleepy Hollow Dr
Canfield, OH 44406-1063
Phone
(912) 414-9306

About Dr. Brocker

Kelsey Brocker, PSYD is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 6505 Market St, Boardman, OH 44512-3457. The NPI number 1174009336 was assigned on July 11, 2018 and the record was last updated on December 20, 2022.

Dr. Brocker lists a license in the registry: #P.08420 (OH) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelsey Brocker, PSYD?

The NPI number is 1174009336.

What is the phone number of Dr. Brocker?

The phone number listed for the practice location is (330) 746-8100.

Where is Dr. Brocker located?

6505 Market St, Boardman, OH 44512-3457.

What is the taxonomy code for Dr. Brocker?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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