Active NPIIndividual provider

Ms. Carol A Broda, MED LPC

Counselor, Professional in Pompton Lakes, New Jersey

NPI Number1164577177
Practice location
105 Hamburg Turnpike, Pompton Lakes, NJ 07442
Fax
973-831-0957
Last updated
July 8, 2007

Carol Ann Broda is a Counselor, Professional based in Pompton Lakes, NJ. Carol Ann Broda practices in Pompton Lakes, NJ and has the professional credentials of MED LPC. The NPI Number for Carol Ann Broda is 1164577177 and holds a License No. 37PC00337800 (NJ). The current practice location address for Carol Ann Broda is 105 Hamburg Turnpike, Pompton Lakes, NJ 07442 and can be reached out via phone at 973-831-0613 and via fax at 973-831-0957.

Provider Profile Details

NPI Number
1164577177
Provider Name
Carol Ann Broda
Credential
MED LPC
Provider Entity Type
Individual
Gender
Female
Address
105 Hamburg Turnpike, Pompton Lakes, NJ 07442
Phone Number
973-831-0613
Fax Number
973-831-0957
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
January 23, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Hamburg Turnpike
Pompton Lakes, NJ 07442
Zip
07442
Phone Number
973-831-0613
Fax Number
973-831-0957
Pompton Lakes, NJ 07442Get directions →

Provider Business Mailing Address Details

Address
21 Evans Place
C/O New Bridge Services INC
Pompton Plains, NJ 07444
City
Pompton Plains
State
NJ
Zip
07444
Phone Number
973-907-2700
Fax Number
973-839-4770

License Information

License Number
37PC00337800
License State
NJ
Taxonomy
Counselor, Professional · 101YP2500X · 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 Ms. Carol A Broda, MED LPC?

The NPI number of Ms. Carol A Broda, MED LPC is 1164577177. It was assigned on January 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Carol A Broda, MED LPC?

Ms. Carol A Broda, MED LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00337800.

Where does Ms. Carol A Broda, MED LPC practice?

The practice location is 105 Hamburg Turnpike, Pompton Lakes, NJ 07442. The office can be reached at 973-831-0613 (phone) or 973-831-0957 (fax).

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 1164577177 directly on the NPPES registry website.

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