MRS. Shirley Marie Broadwater, M.S.
NPI #1659583599 in Fayetteville, Pennsylvania
Provider Information
- NPI Number
- 1659583599
- Entity Type
- Individual
- Name
- MRS. Shirley Marie Broadwater, M.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Counseling
- Credential
- M.S.
- Enumeration Date
- May 4, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1111 HOUSER RD
- City
- Fayetteville
- State
- Pennsylvania
- ZIP Code
- 17222-9731
- Phone
- (717) 352-2857
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Counseling — Counseling |
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