Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Denise Marie Van Brocklin, SSP, NCSP

Individual provider School Psychologist · NPI 1467199869

Denise Marie Van Brocklin, SSP, NCSP is a School Psychologist in Medina, Ohio. Licensed in Alaska. Registered with an NPI since 2022.

Licensed in
AK
In the registry since
2022
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Practice location Address checks out

230 S Court St
Medina, OH 44256-2275
Phone: (330) 723-7977
Fax: (330) 725-5177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 4061936 (AK)

Record details

NPI number1467199869
Entity typeIndividual (Type 1)
GenderFemale
Credentials SSP , NCSP
Sole proprietorNo
NPI enumeratedMay 17, 2022
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022

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