Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW STUART BROUDY, PHD
ActiveMATTHEW STUART BROUDY, PHD is a Clinical Psychologist healthcare provider located in LAKE RIDGE, Virginia. NPI 1649348145 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · LAKE RIDGE, VA
Registration Details
- NPI Number
- 1649348145
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2006 (19.746536571958 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0810003712 (VA)
Practice Information
- Address
-
2239F TACKETTS MILL DRIVELAKE RIDGE, VA, 22192Browse VA providers · Browse ZIP 22192
- Phone
- 7034900336
- Fax
- 7034904525
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in LAKE RIDGE, VA
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY STRAND | PHD | 1306931126 |
| STEPHANIE FELLENBERG | PSYD | 1447348198 |
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.