IndividualActive
Andrea Brockman
NPI 1265396360 · Clinical Psychologist · Valdosta, GA
Provider details
- NPI number
- 1265396360
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PS020616 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4722 Oxbottom Dr
Valdosta, GA 31605-6379
Phone: (229) 415-4416
Approximate (ZIP-level) locationGet directions
Mailing address
4722 Oxbottom Dr
Valdosta, GA 31605-6379
Registry dates
- Enumerated
- 2025-12-12
- Last updated
- 2025-12-12
- Certified
- 2025-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.