Active NPIIndividual provider

Ms. Katherine Broderick-Backman

Speech-Language Pathologist, in Worcester, Massachusetts

NPI Number1538203906
Practice location
55 Lake Ave N, Speech Language Pathology, Worcester, MA 01655-0002
Fax
—
Last updated
July 8, 2007

Katherine Broderick-Backman is a Speech-Language Pathologist, based in Worcester, MA. Katherine Broderick-Backman practices in Worcester, MA. The NPI Number for Katherine Broderick-Backman is 1538203906 and holds a License No. 1687 (MA). The current practice location address for Katherine Broderick-Backman is 55 Lake Ave N, Speech Language Pathology, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-8700.

Provider Profile Details

NPI Number
1538203906
Provider Name
Katherine Broderick-Backman
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Speech Language Pathology, Worcester, MA 01655-0002
Phone Number
508-334-8700
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
February 17, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Speech Language Pathology
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-334-8700
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
281 Lincoln St
Medical Staff Services
Worcester, MA 01605-2138
City
Worcester
State
MA
Zip
01605-2138
Phone Number
508-334-8015
Fax Number
508-334-5374

License Information

License Number
1687
License State
MA
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 Ms. Katherine Broderick-Backman?

The NPI number of Ms. Katherine Broderick-Backman is 1538203906. It was assigned on February 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Katherine Broderick-Backman?

Ms. Katherine Broderick-Backman is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 1687.

Where does Ms. Katherine Broderick-Backman practice?

The practice location is 55 Lake Ave N, Speech Language Pathology, Worcester, MA 01655-0002. The office can be reached at 508-334-8700 (phone).

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 1538203906 directly on the NPPES registry website.

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