Individual
DR. STEPHEN MICHAEL BROER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
27 RYE CIR, SOUTH BURLINGTON, VT 05403-7632
(802) 782-6737
Mailing address
8 GREEN MOUNTAIN DR, SAINT ALBANS, VT 05478-5000
(802) 782-6737
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048-0000817
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010555
—
VT
01
—
2056678
CIGNA
VT
01
—
356530
MHN
VT
01
—
68020
BCBS
VT
Enumeration date
02/21/2006
Last updated
06/06/2022
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