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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL D BROADWELL, PSY.D

Active

MICHAEL D BROADWELL, PSY.D is a Psychologist healthcare provider located in ROCHESTER, Minnesota. NPI 1053645119 is currently active in the NPPES registry. Verify at CMS.

Psychologist · ROCHESTER, MN

Registration Details

NPI Number
1053645119
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2009 (16.867379716973 yrs)
Last Updated
Dec 12, 2022
License
LP6869 (MN)

Practice Information

Address
3535 40TH AVE NW STE 210
ROCHESTER, MN, 559011769
Browse MN providers · Browse ZIP 55901
Phone
5075160227
Fax
5075160228
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Behavior Analyst
Additional Specialty
Psychologist
Additional Specialty
Psychologist

Other Psychologist Providers in ROCHESTER, MN

Name Credential NPI
ROGER EICHMAN M.S., L.P. 1093711616
PEGGY M. MC CARTY M.S., L.P. 1942207584
STEVEN BINGNER M.S., L.P. 1568469104
MARY ANN EICHMAN M.S., L.P. 1417954041
LUCI SCHUELLER M.S., L.P. 1033116660
HEATHER JOHNSON M.A., L.P. 1063419406
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.