| Matthew Stuart Broudy, PHD | |
|
2239f Tacketts Mill Drive, Lake Ridge, VA 22192 | |
| (703) 490-0336 | |
| (703) 490-4525 |
| Full Name | Matthew Stuart Broudy |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 2239f Tacketts Mill Drive, Lake Ridge, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649348145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810003712 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Stuart Broudy, PHD 2239f Tacketts Mill Drive, Lake Ridge, VA 22192 Ph: (703) 490-0336 | Matthew Stuart Broudy, PHD 2239f Tacketts Mill Drive, Lake Ridge, VA 22192 Ph: (703) 490-0336 |
Dr. Bita Kianimanesh, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2239f Tacketts Mill Dr, Lake Ridge, VA 22192 Phone: 703-490-0336 | |
Donna L Price, LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2239f Tacketts Mill Dr, Psychological & Life Skills Assoc Pc, Lake Ridge, VA 22192 Phone: 703-490-0336 Fax: 703-490-4525 | |
Kimberly Strand, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 2239f Tacketts Mill Dr, Psychological & Life Skills Assoc Pc, Lake Ridge, VA 22192 Phone: 703-490-0336 Fax: 703-490-4525 | |
Stephanie Fellenberg, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2239f Tacketts Mill Dr, Psychological & Life Skills Assoc Pc, Lake Ridge, VA 22192 Phone: 703-490-0336 Fax: 703-490-4525 | |
Dr. Karen Deabbe Bagley, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2227 Old Bridge Rd Ste 170, Lake Ridge, VA 22192 Phone: 571-412-3500 Fax: 571-412-3600 |