Individual provider · Type 1 NPI

Matthew Stuart Broudy, PhD

Clinical Psychologist · Lake Ridge, VA

NPI number 1649348145 Active

Practice location

2239F Tacketts Mill Drive
Lake Ridge, VA 22192

Fax (703) 490-4525

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X0810003712 (VA)

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 1649348145

Matthew Stuart Broudy, PhD's National Provider Identifier is 1649348145, issued on Dec 1, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Lake Ridge, VA. The record was last updated on Jul 8, 2007.