Active NPIIndividual provider

Susan Broadus

Counselor in Waterbury, Connecticut

NPI Number1013454743
Practice location
141 E Main St, Waterbury, CT 06702-2310
Fax
—
Last updated
January 19, 2017

Susan Broadus is a Counselor based in Waterbury, CT. Susan Broadus practices in Waterbury, CT. The NPI Number for Susan Broadus is 1013454743. The current practice location address for Susan Broadus is 141 E Main St, Waterbury, CT 06702-2310 and can be reached out via phone at 203-574-9000.

Provider Profile Details

NPI Number
1013454743
Provider Name
Susan Broadus
Provider Entity Type
Individual
Gender
Female
Address
141 E Main St, Waterbury, CT 06702-2310
Phone Number
203-574-9000
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
January 19, 2017
Last Update Date
January 19, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
141 E Main St
Waterbury, CT 06702-2310
Zip
06702-2310
Phone Number
203-574-9000
Waterbury, CT 06702Get directions →

Provider Business Mailing Address Details

Address
141 E Main St
Waterbury, CT 06702-2310
City
Waterbury
State
CT
Zip
06702-2310

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan Broadus?

The NPI number of Susan Broadus is 1013454743. It was assigned on January 19, 2017 and is currently active in the NPPES registry.

What is the specialty of Susan Broadus?

Susan Broadus is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Susan Broadus practice?

The practice location is 141 E Main St, Waterbury, CT 06702-2310. The office can be reached at 203-574-9000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013454743 directly on the NPPES registry website.

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