Broadwell, Michael D

Broadwell, Michael D is an individual health care provider with primary practice located at 3535 40Th Ave Nw Ste 210 , Rochester MN 55901-1769. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Broadwell, Michael D can be contacted via phone (507) 516-0227.

Contact Information

Primary practice address
3535 40Th Ave Nw Ste 210 Rochester MN 55901-1769
Phone: (507) 516-0227
Fax: (507) 516-0228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP6869 Minnesota

Profile Details

NPI number 1053645119
LBN Legal business name Broadwell, Michael D
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2009
Last updated Dec 12th, 2022 - about 4 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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