Active NPIIndividual provider

Clifford Bromberg, PHD

Psychologist, Clinical in East Providence, Rhode Island

NPI Number1699712489
Practice location
1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061
Fax
401-432-1500
Last updated
January 6, 2011

Clifford Bromberg is a Psychologist, Clinical based in East Providence, RI. Clifford Bromberg practices in East Providence, RI and has the professional credentials of PHD. The NPI Number for Clifford Bromberg is 1699712489 and holds a License No. PS00539 (RI). The current practice location address for Clifford Bromberg is 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 and can be reached out via phone at 401-432-1347 and via fax at 401-432-1500.

Provider Profile Details

NPI Number
1699712489
Provider Name
Clifford Bromberg
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061
Phone Number
401-432-1347
Fax Number
401-432-1500
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
June 1, 2006
Last Update Date
January 6, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1011 Veterans Memorial Pkwy
East Providence, RI 02915-5061
Zip
02915-5061
Phone Number
401-432-1347
Fax Number
401-432-1500
East Providence, RI 02915Get directions →

Provider Business Mailing Address Details

Address
1011 Veterans Memorial Pkwy
East Providence, RI 02915-5061
City
East Providence
State
RI
Zip
02915-5061
Phone Number
401-432-1284
Fax Number
401-432-1509

License Information

License Number
PS00539
License State
RI
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 Clifford Bromberg, PHD?

The NPI number of Clifford Bromberg, PHD is 1699712489. It was assigned on June 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Clifford Bromberg, PHD?

Clifford Bromberg, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in RI under license number PS00539.

Where does Clifford Bromberg, PHD practice?

The practice location is 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061. The office can be reached at 401-432-1347 (phone) or 401-432-1500 (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 1699712489 directly on the NPPES registry website.

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