NPI 1013454743
Susan Broadus
Practice location
- Address
- 141 E Main St, Waterbury, CT 06702-2310
- Phone
- (203) 574-9000
Registered specialties
Counselor
Primary
Registry record
- NPI
- 1013454743
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Jan 2017
- Record last updated
- 19 Jan 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.