DR. Michael S. Broder, PH.D.

NPI #1003031154 in Philadelphia, Pennsylvania

Provider Information

NPI Number: 1003031154
Entity Type: Individual
Name: DR. Michael S. Broder, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Apr 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1420 LOCUST ST
Address 2: 7G
City: Philadelphia
State: Pennsylvania
ZIP Code: 19102-4223
Phone: (215) 545-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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