Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY ELLEN BRODERICK, PH.D.
ActiveDR. MARY ELLEN BRODERICK, PH.D. is a Clinical Psychologist healthcare provider located in MARIANNA, Florida. NPI 1356484240 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · MARIANNA, FL
Registration Details
- NPI Number
- 1356484240
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 14, 2007 (19.519180711425 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PY 3181 (FL)
Practice Information
- Address
-
2902 MADISON STMARIANNA, FL, 324463450Browse FL providers · Browse ZIP 32446
- Phone
- 8504828830
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in MARIANNA, FL
| Name | Credential | NPI |
|---|---|---|
| DR. DIANE M VENDRYES | PH.D | 1871769596 |
| DR. MARY MONICA WATKINS-CLAY | PH.D. | 1376708388 |
| DR. MARCELLUS O TAYLOR | PH. D. | 1407098841 |
| DR. DEBORAH JOYCE MAZZARELLA | PSYD, ABPP | 1790008480 |
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.