Tyler Broderick, MS, LPC

NPI #1396080917 in Buffalo, Wyoming

Provider Information

NPI Number: 1396080917
Entity Type: Individual
Name: Tyler Broderick, MS, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MS, LPC
Enumeration Date: Dec 7, 2012
Last Updated: Jul 9, 2019

Practice Location

Address: 521 W LOTT ST
City: Buffalo
State: Wyoming
ZIP Code: 82834-1642
Phone: (307) 684-5531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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