Individual provider · Type 1 NPI

Susan E. Broadwell, MA.PSY.D.

Psychologist · Plymouth, MN

NPI number 1740300078 Active

Practice location

11505 36th Ave N
Plymouth, MN 55441-2304

Call (763) 509-3885 Map

Fax (763) 559-0149

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed

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 1740300078

Susan E. Broadwell, MA.PSY.D.'s National Provider Identifier is 1740300078, issued on Mar 30, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Plymouth, MN. The record was last updated on Jul 8, 2007.