Individual provider · Type 1 NPI

Mary Ellen Broderick, PhD

Clinical Psychologist · Marianna, FL

NPI number 1356484240 Active

Practice location

2902 Madison St
Marianna, FL 32446-3450

Mailing address

1126 Stillwater Dr
Deland, FL 32720-2571

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPY 3181 (FL)

Clinical Psychologist: 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1356484240

Mary Ellen Broderick, PhD's National Provider Identifier is 1356484240, issued on Feb 14, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Marianna, FL. The record was last updated on Jul 8, 2007.