Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KRISTIN KATHLEEN BRODERICK, LCM
Active Sole ProprietorMRS. KRISTIN KATHLEEN BRODERICK, LCM is a Marriage & Family Therapist healthcare provider located in REISTERSTOWN, Maryland. NPI 1962772129 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · REISTERSTOWN, MD
Registration Details
- NPI Number
- 1962772129
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2012 (14.646571384291 yrs)
- Last Updated
- Aug 25, 2014
- License
-
000635 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 OWINGS COURTSUITE 8REISTERSTOWN, MD, 21136Browse MD providers · Browse ZIP 21136
- Phone
- 4105267100
- Fax
- 4105267138
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
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.