Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN DEE BRODERICK, LMFT
ActiveKEVIN DEE BRODERICK, LMFT is a Marriage & Family Therapist healthcare provider located in CENTERVILLE, Utah. NPI 1255485793 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · CENTERVILLE, UT
Registration Details
- NPI Number
- 1255485793
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2007 (19.525060676397 yrs)
- Last Updated
- Jul 8, 2007
- License
-
6285730-3902 (UT)
Practice Information
- Address
-
94 E PAGES LN STE ACENTERVILLE, UT, 840142216Browse UT providers · Browse ZIP 84014
- Phone
- 8012940578
- Fax
- 8012982147
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in CENTERVILLE, UT
| Name | Credential | NPI |
|---|---|---|
| MRS. EMALEE COON BANKS | M.ED, MFT | 1639219447 |
| MR. STEVE DEAN TITENSOR | LMFT | 1720120710 |
| MRS. MONICA L. GARDNER | M.F.T. | 1033398383 |
| TARI HENSON-ROMERO | LMFT | 1083912448 |
| MR. DOUGLAS HOPPER | LMFT | 1538404231 |
| CARLY KROPF | — | 1437522208 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.