Joan Broderick is a Psychologist in Stony Brook, New York. Joan Broderick practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Joan Broderick is 1699716217. The last update date is 2007-07-08.
Joan Broderick's current location address is Po Box 1559, Stony Brook, New York. You can contact this provider via phone number 6316323106. The mailing address for Joan Broderick is Po Box 1559, Stony Brook, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan Broderick |
|---|---|
| Address | Po Box 1559, Stony Brook, New York |
| Phone Number | 6316323106 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1699716217 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1559 |
|---|---|
| City | Stony Brook |
| State | New York (NY) |
| Post Code | 117900989 |
| Phone Number | 6316323106 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6567 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 663194 | NY | -- |
Post Comment/ Review Below
What is the Joan Broderick's unique identification number?
The Joan Broderick has been assigned the NPI (National Provider Identifier) Number 1699716217 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Joan Broderick is physically located?
The Joan Broderick is physically situated at the following address: Po Box 1559, Stony Brook, NY, 117900989.
What is the area of specialization for Joan Broderick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Joan Broderick is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699716217 to Joan Broderick?
The Centers for Medicare & Medicaid Services originally issued the 1699716217 to Joan Broderick on 2006-06-08.
As of what date were the details related to Joan Broderick most recently updated or revised?
The information pertaining to Joan Broderick, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.