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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MICHAEL S BRODER, PhD
1420 LOCUST ST
7G
PHILADELPHIA, PA19102-4223
 Phone: 215-545-7000
 Fax: 215-545-7011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL S BRODER · (Male)

NPI Number 1003031154
Status Active
Credentials PhD
Entity Individual
Enumeration date 04/16/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # PS003069-L
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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