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

DR. BRAD STEPHEN BROEDER, PH.D.

Active Sole Proprietor

DR. BRAD STEPHEN BROEDER, PH.D. is a Clinical Psychologist healthcare provider located in SARASOTA, Florida. NPI 1912155144 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · SARASOTA, FL

Registration Details

NPI Number
1912155144
Provider Type
Individual
Gender
Male
NPI Issued
Aug 29, 2008 (17.942385337005 yrs)
Last Updated
Aug 29, 2008
Licenses
PY-5583 (FL)
PY-5583 (FL)
PY-5583 (FL)
PY-5583 (FL)
PY-5583 (FL)
Sole Proprietor
Yes

Practice Information

Address
1266 FIRST STREET, SUITE #11
SARASOTA, FL, 342365519
Browse FL providers · Browse ZIP 34236
Phone
9419536804
Fax
9419533704
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist
Additional Specialty
Child, Clinical Psychologist
Additional Specialty
Family Psychologist

Other Clinical Psychologist Providers in SARASOTA, FL

Name Credential NPI
DR. ROBERT L STEPHENSON PSYD 1023001716
DR. JANE ZARZECKI PH.D. 1245221332
DR. ROBERT KENT BOXLEY PH.D. 1871584045
DR. DIANE A. MCKAY PSY.D. 1013989433
DR. JANICE G. YOUNG PH.D. 1386616217
DR. RONA W. ROSS PH.D. 1043278559
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.