DR. Mary Ellen Broderick PH.D.

  • NPI 1356484240
According to our database, the NPI number for DR. Mary Ellen Broderick PH.D. is 1356484240 and activated since 17 years ago. DR. Mary Ellen Broderick PH.D. is an individual provider who specializes in Clinical, and the primary practice location is 2902 Madison St, Marianna, FL 32446. You can also contact DR. Mary Ellen Broderick PH.D. via telephone number is (850) 482-8830. Provider NPI information was last updated on 07/08/2007.

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Overview of DR. Mary Ellen Broderick PH.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 02/14/2007
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: PY 3181
  • License State: FL

Provider Mailing Address

  • Address: 1126 Stillwater Dr
    Deland, FL 32720
  • Phone: 386-734-5852
  • Fax:

Provider Practice Location

  • Address: 2902 Madison St
    Marianna, FL 32446
  • Phone: 850-482-8830
  • Fax:

Scope of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: PY 3181
  • License State: FL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 75290
  • Identifier Type: Other
  • Identifier State: FL
  • Issuer: BCBS PSYCHOLOGIST

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Mary Ellen Broderick PH.D.?
  • A: The npi number for DR. Mary Ellen Broderick PH.D. is 1356484240.
  • Q: What are DR. Mary Ellen Broderick PH.D.'s specialties?
  • A: DR. Mary Ellen Broderick PH.D.'s specialties are Clinical and different specialities.
  • Q: What is the medical license for DR. Mary Ellen Broderick PH.D.?
  • A: The medical license number for DR. Mary Ellen Broderick PH.D. is PY 3181 and issued in FL in USA.
  • Q: Where is DR. Mary Ellen Broderick PH.D. practice location?
  • A: DR. Mary Ellen Broderick PH.D. is practicing at 2902 Madison St, Marianna, FL 32446.
  • Q: How to contact DR. Mary Ellen Broderick PH.D.?
  • A: You can contact DR. Mary Ellen Broderick PH.D. via 850-482-8830.
Medicare Specialty
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Sports Medicine
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