Mrs Kristin Kathleen Broderick, LCM is a
Marriage & Family Therapist based in Reisterstown, Maryland. Mrs Kristin Kathleen Broderick is licensed to practice in Pennsylvania (license number 000635) and her current practice location is
100 Owings Court, Suite 8, Reisterstown, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 526-7100.
NPI number for Mrs Kristin Kathleen Broderick is 1962772129 and her current mailing address is 10400 Ridgland Road, Ste 1, Cockeysville, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962772129.
Healthcare Provider's Profile
Full Name | Mrs Kristin Kathleen Broderick |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 100 Owings Court, Reisterstown, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962772129
- Provider Enumeration Date: 01/05/2012
- Last Update Date: 08/25/2014
Medical Identifiers
Medical identifiers for Mrs Kristin Kathleen Broderick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962772129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 000635 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kristin Kathleen Broderick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kristin Kathleen Broderick, LCM 10400 Ridgland Road, Ste 1, Cockeysville, MD 21030 Ph: (410) 628-6120 | Mrs Kristin Kathleen Broderick, LCM 100 Owings Court, Suite 8, Reisterstown, MD 21136 Ph: (410) 526-7100 |
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