Active NPIIndividual providerSole proprietor

Dr. Stephen M Broer, PSYD

Psychologist, Clinical in South Burlington, Vermont

NPI Number1255306528
Practice location
27 Rye Cir, South Burlington, VT 05403-7632
Fax
—
Last updated
June 6, 2022

Stephen Michael Broer is a Psychologist, Clinical based in South Burlington, VT. Stephen Michael Broer practices in South Burlington, VT and has the professional credentials of PSYD. The NPI Number for Stephen Michael Broer is 1255306528 and holds a License No. 048-0000817 (VT). The current practice location address for Stephen Michael Broer is 27 Rye Cir, South Burlington, VT 05403-7632 and can be reached out via phone at 802-782-6737.

Provider Profile Details

NPI Number
1255306528
Provider Name
Stephen Michael Broer
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
27 Rye Cir, South Burlington, VT 05403-7632
Phone Number
802-782-6737
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 21, 2006
Last Update Date
June 6, 2022
Certification Date
June 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
27 Rye Cir
South Burlington, VT 05403-7632
State
Vermont
Zip
05403-7632
Phone Number
802-782-6737
South Burlington, VT 05403Get directions →

Provider Business Mailing Address Details

Address
8 Green Mountain Dr
Saint Albans, VT 05478-5000
City
Saint Albans
State
VT
Zip
05478-5000
Phone Number
802-782-6737

License Information

License Number
048-0000817
License State
VT
Taxonomy
Psychologist, Clinical · 103TC0700X · 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 Dr. Stephen M Broer, PSYD?

The NPI number of Dr. Stephen M Broer, PSYD is 1255306528. It was assigned on February 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Stephen M Broer, PSYD?

Dr. Stephen M Broer, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VT under license number 048-0000817.

Where does Dr. Stephen M Broer, PSYD practice?

The practice location is 27 Rye Cir, South Burlington, VT 05403-7632. The office can be reached at 802-782-6737 (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 1255306528 directly on the NPPES registry website.

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