Broeder, Brad Stephen

Broeder, Brad Stephen is an sole proprietor health care provider with primary practice located at 1266 First Street, Suite #11 , Sarasota FL 34236-5519. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Broeder, Brad Stephen can be contacted via phone (941) 953-6804.

Contact Information

Primary practice address
1266 First Street, Suite #11 Sarasota FL 34236-5519
Phone: (941) 953-6804
Fax: (941) 953-3704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X PY-5583 Florida
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PY-5583 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY-5583 Florida
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY-5583 Florida
Behavioral Health & Social Service Providers / Family 103TF0000X PY-5583 Florida
Behavioral Health & Social Service Providers / Forensic 103TF0200X PY-5583 Florida

Profile Details

NPI number 1912155144
LBN Legal business name Broeder, Brad Stephen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2008
Last updated Aug 29th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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