Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT DANIEL BROAD, PHD
Active Sole ProprietorSchool Psychologist · NEWYORK, NY
Registration Details
- NPI Number
- 1912229436
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 25, 2010 (16.16539768295 yrs)
- Last Updated
- Feb 25, 2010
- License
-
4164 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
141 EAST 55TH STREETSUITE1HNEWYORK, NY, 10022Browse NY providers · Browse ZIP 10022
- Phone
- 2129808063
- Fax
- 2129808063
- Primary Specialty
-
School Psychologist
103TS0200X
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.