Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL BRODERICK, PH.D.
Active Sole ProprietorDR. MICHAEL BRODERICK, PH.D. is a Psychologist healthcare provider located in PORTLAND, Maine. NPI 1811108012 is currently active in the NPPES registry. Verify at CMS.
Psychologist · PORTLAND, ME
Registration Details
- NPI Number
- 1811108012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 28, 2007 (19.175948148665 yrs)
- Last Updated
- Jul 9, 2007
- License
-
PS908 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
491 STEVENS AVEPORTLAND, ME, 041032636Browse ME providers · Browse ZIP 04103
- Phone
- 2073295915
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| DR. JUDSON D. SMITH | ED.D. | 1518937242 |
| MS. SUSAN ESTHER PARR | LCPC | 1861454787 |
| MS. AMELIA ANN HASSLER | PSYD | 1851332613 |
| JAMES L WEAVER | — | 1447293741 |
| RONALD L BREAZEALE | PH.D | 1780627026 |
| RICHARD G DOIRON | PH.D., ABPP | 1386652634 |
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.