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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYLER BRODERICK, MS, LPC

Active

TYLER BRODERICK, MS, LPC is a Professional Counselor healthcare provider located in BUFFALO, Wyoming. NPI 1396080917 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · BUFFALO, WY

Registration Details

NPI Number
1396080917
Provider Type
Individual
Gender
Male
NPI Issued
Dec 7, 2012 (13.648702313717 yrs)
Last Updated
Jul 9, 2019
Licenses
PPC721 (WY)
LPC-1434 (WY)

Practice Information

Address
521 W LOTT ST
BUFFALO, WY, 828341642
Browse WY providers · Browse ZIP 82834
Phone
3076845531
Fax
3076842912
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in BUFFALO, WY

Name Credential NPI
STARRLEE HEADY LMHC, LPC 1447466768
ROSE M HARRIET LPC 1124268354
MADONNA BELL ESPONDA L.P.C. 1205168945
MRS. JAMIE L.F. STRAESSLER M.ED. 1740597913
MRS. ADRIANNE M STENSAAS LPC 1649569401
MR. COLLIN G BEECHER MS, NCC, LPC 1861829780
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.