Individual provider · Type 1 NPI

Joan Broderick

Psychologist · Stony Brook, NY

NPI number 1699716217 Active

Practice location

Suny Putnam Hall Rm 103
Stony Brook, NY 11794-0001

Call (631) 632-3106 Map

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X006567 (NY)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1699716217

Joan Broderick's National Provider Identifier is 1699716217, issued on Jun 8, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Stony Brook, NY. The record was last updated on Jul 13, 2026.