| Doctor Name: | MR. STEVE R BROD |
| NPI Number: | 1558532523 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | LC688 |
| Business Practice Address: | 280 Main St Suite 390 Wilton, ME - 04294 |
| Business Phone Number: | 2078725300 |
| Business Fax Number: | 2076453277 |
| Mailing Address: | 180 Main Street, Suite #2 WATERVILLE |
| State: | ME |
| Postal Code: | 04901 |
| Phone Number: | 8003665302 |
| Fax Number: | 2078736612 |
| NPI Enumeration Date: | 03/18/2008 |
| NPI Last Update Date: | 03/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LC688 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |