Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY R. BRODERICK, L.P.C.
Active Sole ProprietorMRS. KELLY R. BRODERICK, L.P.C. is a Counselor healthcare provider located in LA GRANGE, Illinois. NPI 1881817443 is currently active in the NPPES registry. Verify at CMS.
Counselor · LA GRANGE, IL
Registration Details
- NPI Number
- 1881817443
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 11, 2007 (19.314988119106 yrs)
- Last Updated
- Sep 11, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
515 S ASHLAND AVELA GRANGE, IL, 605252812Browse IL providers · Browse ZIP 60525
- Phone
- 7083521880
- Fax
- 7083521880
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Developmental Therapist
Other Counselor Providers in LA GRANGE, IL
| Name | Credential | NPI |
|---|---|---|
| FADIA DAMRA | BA | 1982089587 |
| MARIANA LUNA | M.A | 1609225861 |
| MRS. NATALIA RESENDIZ | MA | 1750733754 |
| CHRISTA CAPALBY | — | 1750852737 |
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.