Individual
DR. LORRAINE T BROLL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7633 GANSER WAY, STE 204, MADISON, WI 53719-2092
(608) 829-1800
(608) 829-1885
Mailing address
7633 GANSER WAY, STE 204, MADISON, WI 53719-2092
(608) 829-1800
(608) 829-1885
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
1106057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39048000
—
WI
Enumeration date
06/08/2006
Last updated
07/08/2007
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