Individual provider · Type 1 NPI

Neil Broderick

Mental Health Counselor · Brockton, MA

NPI number 1790239853 Active

Practice location

10 Meadowbrook Rd
Brockton, MA 02301-7122

Fax (508) 408-6192

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790239853

Neil Broderick's National Provider Identifier is 1790239853, issued on Aug 6, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, MA. The record was last updated on Aug 6, 2016.