Debra Jean Broderick in Saint Paul - Counseling
Debra Jean Broderick - NPI 1639204423
Debra Jean Broderick is a Counseling in Saint Paul, Minnesota. Debra Jean Broderick practices all healthcare services and medical treatments related to Counseling. The NPI Number for Debra Jean Broderick is 1639204423. The last update date is 2007-07-08.
Debra Jean Broderick's current location address is 1434 Simpson St, Saint Paul, Minnesota. You can contact this provider via phone number 6516453998. The mailing address for Debra Jean Broderick is 1434 Simpson St, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Jean Broderick |
|---|---|
| Address | 1434 Simpson St, Saint Paul, Minnesota |
| Phone Number | 6516453998 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PYS.D. |
NPI Number Detail
| NPI Number | 1639204423 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1434 Simpson St |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551082440 |
| Phone Number | 6516453998 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counseling |
|---|---|
| Taxonomy | 103Tc1900X |
| Licence No | 4744 |
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Definition: A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c |
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What is the unique 10-digit identifier code issued to Debra Jean Broderick by the Centers for Medicare & Medicaid Services?
The Debra Jean Broderick has been assigned the NPI (National Provider Identifier) 1639204423 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Debra Jean Broderick's facilities are geographically located?
The facilities of Debra Jean Broderick are physically situated at the following location: 1434 Simpson St, Saint Paul, MN, 551082440.
What is Debra Jean Broderick's specialized field of practice, and what is the corresponding taxonomy classification code?
The Debra Jean Broderick's area of specialization is Counseling, and the corresponding taxonomy code that categorizes this field of practice is 103Tc1900X.
On what date did the Debra Jean Broderick receive its 1639204423 assignment from the Centers for Medicare & Medicaid Services?
The Debra Jean Broderick was assigned its 1639204423 by the Centers for Medicare & Medicaid Services on 2007-02-22.
As of what date were the Debra Jean Broderick's details last updated?
The information pertaining to the Debra Jean Broderick, including its address, specialty, and other details, was most recently updated on 2007-07-08.