NPI 1740677764 · live from the CMS NPI Registry
Efrem Bromberg, LMFT
Marriage & Family Therapist in Peace Dale, RI. National Provider Identifier 1740677764, active.
NPI record
| NPI | 1740677764 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 43 Railroad St, Peace Dale, RI 02879 |
| Practice phone | 401-465-9292 |
| Mailing address | 35 Liberty Church Rd, Exeter, RI 02822 |
| Enumerated | April 16, 2015 |
| Last updated | April 16, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MFT00166 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.