NPI 1245447572 · live from the CMS NPI Registry
Matthew William Brosi, Ph.D.
Marriage & Family Therapist in Stillwater, OK. National Provider Identifier 1245447572, active.
NPI record
| NPI | 1245447572 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | Center For Family Services, 101 Human Environmental Sciences West, Stillwater, OK 74078 |
| Practice phone | 405-744-5058 |
| Mailing address | 6719 S Western Rd, Stillwater, OK 74074 |
| Enumerated | May 17, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 4101006350 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.