| Doctor Name: | MRS. SUSAN K. MCBROOM |
| NPI Number: | 1104070556 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., L.M.H.C. |
| License Number: | 0405 |
| Business Practice Address: | 2500 82nd Pl Urbandale, IA - 503224329 |
| Business Phone Number: | 5152701344 |
| Business Fax Number: | 5152706515 |
| Mailing Address: | 2500 82nd Pl, URBANDALE |
| State: | IA |
| Postal Code: | 503224329 |
| Phone Number: | 5152701344 |
| Fax Number: | 5152706515 |
| NPI Enumeration Date: | 11/12/2008 |
| NPI Last Update Date: | 11/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |