Brodeur, Michael David

Brodeur, Michael David is an individual health care provider with primary practice located at 1815 Ne Wilson Rd , Pullman WA 99164-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brodeur, Michael David can be contacted via phone (509) 335-4511.

Contact Information

Primary practice address
1815 Ne Wilson Rd Pullman WA 99164-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY60297192 Washington

Profile Details

NPI number 1225375165
LBN Legal business name Brodeur, Michael David
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2013
Last updated Jan 11th, 2013 - about 12 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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