Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Matthew Broad, LCAT

Individual provider Art Therapist · NPI 1912505249

Mr. Matthew Broad, LCAT is an Art Therapist in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

1 Mustard St Ste 240250
Rochester, NY 14609-6980
Phone: (585) 451-0028
Fax: (585) 654-1718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Art Therapist (primary) Taxonomy 221700000X · Licence 001375 (NY)

Record details

NPI number1912505249
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAT
Sole proprietorYes
NPI enumeratedOctober 9, 2020
Last updated in NPPESOctober 9, 2020
Certification dateOctober 9, 2020

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