Active NPIIndividual providerSole proprietor

Ms. Diane E Brouder, LMFT

Marriage & Family Therapist in Essex, Connecticut

NPI Number1811093719
Practice location
3 Wildwood Medical Ctr, Essex, CT 06426-1155
Fax
—
Last updated
August 7, 2021

Diane Elaine Brouder is a Marriage & Family Therapist based in Essex, CT. Diane Elaine Brouder practices in Essex, CT and has the professional credentials of LMFT. The NPI Number for Diane Elaine Brouder is 1811093719 and holds a License No. 000597CT (CT). The current practice location address for Diane Elaine Brouder is 3 Wildwood Medical Ctr, Essex, CT 06426-1155 and can be reached out via phone at 860-303-4108.

Provider Profile Details

NPI Number
1811093719
Provider Name
Diane Elaine Brouder
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
3 Wildwood Medical Ctr, Essex, CT 06426-1155
Phone Number
860-303-4108
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Other Names
Ms. Diane Elaine Brouder, MA (Former Name)
Provider Enumeration Date
September 16, 2006
Last Update Date
August 7, 2021
Certification Date
August 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Wildwood Medical Ctr
Essex, CT 06426-1155
City
Essex
Zip
06426-1155
Phone Number
860-303-4108
Essex, CT 06426Get directions →

Provider Business Mailing Address Details

Address
3 Wildwood Medical Ctr
Essex, CT 06426-1155
City
Essex
State
CT
Zip
06426-1155
Phone Number
860-303-4108
Fax Number
860-400-3043

License Information

License Number
000597CT
License State
CT
Taxonomy
Marriage & Family Therapist · 106H00000X · 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. Diane E Brouder, LMFT?

The NPI number of Ms. Diane E Brouder, LMFT is 1811093719. It was assigned on September 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Diane E Brouder, LMFT?

Ms. Diane E Brouder, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CT under license number 000597CT.

Where does Ms. Diane E Brouder, LMFT practice?

The practice location is 3 Wildwood Medical Ctr, Essex, CT 06426-1155. The office can be reached at 860-303-4108 (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 1811093719 directly on the NPPES registry website.

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