1174877336 NPI number — SHARON M BROUSSARD LMHC, M.ED.

Table of content: SHARON M BROUSSARD LMHC, M.ED. (NPI 1174877336)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174877336 NPI number — SHARON M BROUSSARD LMHC, M.ED.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROUSSARD
Provider First Name:
SHARON
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMHC, M.ED.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174877336
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/08/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
462 BOSTON ST
Provider Second Line Business Mailing Address:
SUITE 7
Provider Business Mailing Address City Name:
TOPSFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01983-1200
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-887-2448
Provider Business Mailing Address Fax Number:
978-774-9218

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
462 BOSTON ST
Provider Second Line Business Practice Location Address:
SUITE 7
Provider Business Practice Location Address City Name:
TOPSFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01983-1200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-887-2448
Provider Business Practice Location Address Fax Number:
978-774-9218
Provider Enumeration Date:
11/08/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  1825 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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