MS. Mary Kathleen Broderick, MS ED
NPI #1699057679 in Rensselaer, New York
Provider Information
- NPI Number
- 1699057679
- Entity Type
- Individual
- Name
- MS. Mary Kathleen Broderick, MS ED
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS ED
- Enumeration Date
- Sep 15, 2011
- Last Updated
- Sep 15, 2011
Practice Location
- Address
- 25 VAN RENSSELAER DR
- City
- Rensselaer
- State
- New York
- ZIP Code
- 12144-1491
- Phone
- (518) 436-4618
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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