Provider Demographics
NPI:1609162502
Name:BROOM, CATHERINE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:BROOM
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:391 WASHINGTON ST
Mailing Address - Street 2:PENTHOUSE, 8TH FLOOR
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-3070
Mailing Address - Country:US
Mailing Address - Phone:716-725-9717
Mailing Address - Fax:
Practice Address - Street 1:391 WASHINGTON ST
Practice Address - Street 2:PENTHOUSE, 8TH FLOOR
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-3070
Practice Address - Country:US
Practice Address - Phone:716-725-9717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health