Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHIRLEY MARIE BROADWATER, M.S.
Active Sole ProprietorMRS. SHIRLEY MARIE BROADWATER, M.S. is a Counseling Psychologist healthcare provider located in FAYETTEVILLE, Pennsylvania. NPI 1659583599 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · FAYETTEVILLE, PA
Registration Details
- NPI Number
- 1659583599
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2007 (19.299785025126 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PS005001-L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1111 HOUSER RDFAYETTEVILLE, PA, 172229731Browse PA providers · Browse ZIP 17222
- Phone
- 7173522857
- Fax
- 7173522857
- Primary Specialty
-
Counseling Psychologist
103TC1900X
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.