Individual
DR. STEPHEN MICHAEL BROER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
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
Update your record
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