Doctor Name: | WILLAIM ROBERT BROOMALL |
NPI Number: | 1609214741 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MASTERS DEGREE |
License Number: | |
Business Practice Address: | 479 Thomas Jones Way Suite 800 Exton, PA - 193412580 |
Business Phone Number: | 4845651130 |
Business Fax Number: | |
Mailing Address: | 431 W Miner St, WEST CHESTER |
State: | PA |
Postal Code: | 193822834 |
Phone Number: | 6104290594 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2013 |
NPI Last Update Date: | 06/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |