Individual provider · Type 1 NPI
Pamela Jane Brodie, PhD, LPC
Mental Health Counselor · Ridgewood, NJ
NPI number
1609945054
Active
Practice location
162 E Ridgewood Ave Ste 4
Ridgewood, NJ 07450-3846
Fax (973) 783-3033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00509200 (NJ) |
| Mental Health Counselor Primary | 101YM0800X | 37PC00286500 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1609945054
Pamela Jane Brodie, PhD, LPC's National Provider Identifier is 1609945054, issued on Nov 7, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ridgewood, NJ. The record was last updated on Aug 4, 2020.