Pamela Jane Brodie in Ridgewood - Clinical

Pamela Jane Brodie - NPI 1609945054

Pamela Jane Brodie is a Clinical in Ridgewood, New Jersey. Pamela Jane Brodie practices all healthcare services and medical treatments related to Clinical. The NPI Number for Pamela Jane Brodie is 1609945054. The last update date is 2020-08-04.

Pamela Jane Brodie's current location address is 162 E Ridgewood Ave Ste 4, Ridgewood, New Jersey. You can contact this provider via phone number 9737833030 and fax number 9737833033. The mailing address for Pamela Jane Brodie is 162 E Ridgewood Ave Ste 4, Ridgewood, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Pamela Jane Brodie
Address 162 E Ridgewood Ave Ste 4, Ridgewood, New Jersey
Phone Number 9737833030
Fax Number 9737833033
Sole Proprietor Y
Credentials PHD, LPC

NPI Number Detail

NPI Number 1609945054
Provider Enumeration Date 2006-11-07
Last Updated Date 2020-08-04

Provider Mailing Address Detail

Address 162 E Ridgewood Ave Ste 4
City Ridgewood
State New Jersey (NJ)
Post Code 74503846
Phone Number 9737833030
Fax Number 9737833033

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 35SI00509200
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Pamela Jane Brodie

What is the unique provider identifier assigned to Pamela Jane Brodie?

The Pamela Jane Brodie has been issued the NPI (National Provider Identifier) 1609945054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Pamela Jane Brodie?

The Pamela Jane Brodie is situated at 162 E Ridgewood Ave Ste 4, in the city of Ridgewood, state of NJ, with the zip code 74503846.

What is Pamela Jane Brodie's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Pamela Jane Brodie is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1609945054 to Pamela Jane Brodie?

The Pamela Jane Brodie received its 1609945054 assignment from the Centers for Medicare & Medicaid Services on 2006-11-07.

As of what date was the information regarding Pamela Jane Brodie, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Pamela Jane Brodie, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-04.

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