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Contact Information

NORMAN BROUDY
825 N WASHINGTON ST
WILMINGTON, DE19801-1509
 Phone: 302-655-7110
 Fax: 302-655-6185
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for NORMAN BROUDY

NPI Number 1457400657
LBN Legal business name NORMAN BROUDY
Authorized official NORMAN BROUDY - (LEAD DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2007
Last updated 02/20/2025 - More than a year ago
Identifiers
DE License # 0000473
DE License # B10000110
DE License # B10000234
DE License # B10000333
DE License # B10000381
DE License # C10001649
DE License # C10006767
DE License # C10007596
DE License # LE0000140
DE License # PC0000237
DE License # Q10000120
DE License # Q10000129
DE License # Q10000260
DE License # Q10000773
DE Other 0000473 STATE LICENSE NUMBER
DE Other B10000110 STATE LICENSE NUMBER
DE Other B10000234 STATE LICENSE NUMBER
DE Other B10000333 STATE LICENSE NUMBER
DE Other B10000381 STATE LICENSE NUMBER
DE Other C10001649 STATE LICENSE NUMBER
DE Other C10006767 STATE LICENSE NUMBER
DE Other C10007596 STATE LICENSE NUMBER
DE Other LE0000140 STATE LICENSE NUMBER
DE Other PC0000003 STATE LICENSE NUMBER
DE Other PC0000224 STATE LICENSE NUMBER
DE Other PC0000237 STATE LICENSE NUMBER
DE Other Q10000120 STATE LICENSE NUMBER
DE Other Q10000129 STATE LICENSE NUMBER
DE Other Q10000260 STATE LICENSE NUMBER
DE Other Q10000773 STATE LICENSE NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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