Matthew Stuart Broudy, PHD
NPI #1649348145 in Lake Ridge, Virginia
Provider Information
- NPI Number
- 1649348145
- Entity Type
- Individual
- Name
- Matthew Stuart Broudy, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PHD
- Enumeration Date
- Dec 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2239F TACKETTS MILL DRIVE
- City
- Lake Ridge
- State
- Virginia
- ZIP Code
- 22192
- Phone
- (703) 490-0336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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