ROBERT BROADWELL MA LPC NPI 1154501229

NPI Information

NPI: 1154501229
Provider Name: ROBERT BROADWELL, MA, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
301 N SHIAWASSEE ST
BOX 129
CORUNNA, MI
ZIP 48817
Phone: (989) 743-1007
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Robert Broadwell, MA, LPC is a professional counselor in Corunna, MI. Robert Broadwell, MA, LPC NPI is 1154501229. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 N SHIAWASSEE ST
BOX 129
CORUNNA, MI
ZIP 48817-439
Phone: (989) 743-1007

The enumeration date for this NPI number is 11/6/2007 and was last updated on 11/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6401003658	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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