Provider Demographics
NPI:1528291333
Name:JONES-BROOKS, TAMRA CHANEL (PSYD)
Entity type:Individual
Prefix:DR
First Name:TAMRA
Middle Name:CHANEL
Last Name:JONES-BROOKS
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 1:5203 N CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-2042
Mailing Address - Country:US
Mailing Address - Phone:410-323-6760
Mailing Address - Fax:
Practice Address - Street 1:5100 FALLS RD
Practice Address - Street 2:SUITE 170
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-1935
Practice Address - Country:US
Practice Address - Phone:410-323-6760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04496103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical