MRS. Kelly R. Broderick, L.P.C.

NPI #1881817443 in La Grange, Illinois

Provider Information

NPI Number: 1881817443
Entity Type: Individual
Name: MRS. Kelly R. Broderick, L.P.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: L.P.C.
Enumeration Date: Apr 11, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 515 S ASHLAND AVE
City: La Grange
State: Illinois
ZIP Code: 60525-2812
Phone: (708) 352-1880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Developmental Therapist	222Q00000X

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