MICHAEL BRODERICK

PORTLAND, ME
NPI1811108012
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: ME  PS908)
Enumeration Date2007-05-28
Last Update Date2007-07-09
Business Address
Dr. MICHAEL BRODERICK Ph.D.
491 STEVENS AVE
PORTLAND, ME 04103-2636
Phone number: 207-329-5915
Mailing Address
Dr. MICHAEL BRODERICK Ph.D.
491 STEVENS AVE
PORTLAND, ME 04103-2636
Phone number: 207-329-5915
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