Individual provider · Type 1 NPI
Kristin Kathleen Broderick, LCM
Marriage & Family Therapist · Reisterstown, MD
Practice location
100 Owings Court, Suite 8
Reisterstown, MD 21136
Fax (410) 526-7138
Mailing address
10400 Ridgland Road, Ste 1
Cockeysville, MD 21030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 000635 (PA) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
4 other providers at this address
- Hormones & Immunology Personalized MedicinePsychiatric/Mental Health Nurse Practitioner Reisterstown, MD NPI 1144109505
- Devon Anthony Blackwood, LCADCAddiction (Substance Use Disorder) Counselor Reisterstown, MD NPI 1336225077
- Jeffrey David Gary, PhDPsychologist Reisterstown, MD NPI 1023100088
- Jennifer L. Pemberton, MS LCPCCounselor Reisterstown, MD NPI 1437372547
About NPI 1962772129
Kristin Kathleen Broderick, LCM's National Provider Identifier is 1962772129, issued on Jan 5, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Reisterstown, MD. The record was last updated on Aug 25, 2014.