Active NPIIndividual provider

Kathryn Broderick

Speech-Language Pathologist, in York, Maine

NPI Number1063916005
Practice location
15 Hospital Dr, York, ME 03909-1099
Fax
207-351-2216
Last updated
March 23, 2018

Kathryn Broderick is a Speech-Language Pathologist, based in York, ME. Kathryn Broderick practices in York, ME. The NPI Number for Kathryn Broderick is 1063916005 and holds a License No. ST2783 (ME). The current practice location address for Kathryn Broderick is 15 Hospital Dr, York, ME 03909-1099 and can be reached out via phone at 207-363-4321 and via fax at 207-351-2216.

Provider Profile Details

NPI Number
1063916005
Provider Name
Kathryn Broderick
Provider Entity Type
Individual
Gender
Female
Address
15 Hospital Dr, York, ME 03909-1099
Phone Number
207-363-4321
Fax Number
207-351-2216
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
March 23, 2018
Last Update Date
March 23, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Hospital Dr
York, ME 03909-1099
City
York
State
Maine
Zip
03909-1099
Phone Number
207-363-4321
Fax Number
207-351-2216
York, ME 03909Get directions →

Provider Business Mailing Address Details

Address
15 Hospital Dr
York, ME 03909-1099
City
York
State
ME
Zip
03909-1099
Phone Number
207-351-2478
Fax Number
207-351-2216

License Information

License Number
ST2783
License State
ME
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathryn Broderick?

The NPI number of Kathryn Broderick is 1063916005. It was assigned on March 23, 2018 and is currently active in the NPPES registry.

What is the specialty of Kathryn Broderick?

Kathryn Broderick is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in ME under license number ST2783.

Where does Kathryn Broderick practice?

The practice location is 15 Hospital Dr, York, ME 03909-1099. The office can be reached at 207-363-4321 (phone) or 207-351-2216 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063916005 directly on the NPPES registry website.

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