Taylor Broderick
Counselor, Mental Health in Medford, New Jersey
1851088082- Practice location
- 11 Chairville RD, Medford, NJ 08055-9619
- Phone
- 609-975-9769
- Fax
- —
- Last updated
- January 16, 2025
Taylor Broderick is a Counselor, Mental Health based in Medford, NJ. Taylor Broderick practices in Medford, NJ. The NPI Number for Taylor Broderick is 1851088082 and holds a License No. 37PC01097600 (NJ). The current practice location address for Taylor Broderick is 11 Chairville RD, Medford, NJ 08055-9619 and can be reached out via phone at 609-975-9769.
Provider Profile Details
- NPI Number
- 1851088082
- Provider Name
- Taylor Broderick
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11 Chairville RD, Medford, NJ 08055-9619
- Phone Number
- 609-975-9769
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 18, 2023
- Last Update Date
- January 16, 2025
- Certification Date
- January 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Chairville RD
Medford, NJ 08055-9619 - City
- Medford
- State
- New Jersey
- Zip
- 08055-9619
- Phone Number
- 609-975-9769
Provider Business Mailing Address Details
- Address
- 11 Chairville RD
Medford, NJ 08055-9619 - City
- Medford
- State
- NJ
- Zip
- 08055-9619
- Phone Number
- 609-975-9769
License Information
- License Number
- 37PC01097600
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Taylor Broderick?
The NPI number of Taylor Broderick is 1851088082. It was assigned on April 18, 2023 and is currently active in the NPPES registry.
What is the specialty of Taylor Broderick?
Taylor Broderick is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37PC01097600.
Where does Taylor Broderick practice?
The practice location is 11 Chairville RD, Medford, NJ 08055-9619. The office can be reached at 609-975-9769 (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 1851088082 directly on the NPPES registry website.