Individual provider · Type 1 NPI

Laura Brockman, PSY.D

Student in an Organized Health Care Education/Training Program · Tinton Falls, NJ

NPI number 1811870124 Active

Practice location

4000 NJ-66, Suite 331
Tinton Falls, NJ 07753

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X253-003 (NJ)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811870124

Laura Brockman, PSY.D's National Provider Identifier is 1811870124, issued on Jul 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tinton Falls, NJ. The record was last updated on Jul 26, 2025.