Broderick, Kathryn
Broderick, Kathryn is an individual health care provider with primary practice located at 15 Hospital Dr , York ME 03909-1099. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Broderick, Kathryn can be contacted via phone (207) 363-4321.Contact Information
Primary practice address
15 Hospital Dr
York ME 03909-1099
Phone: (207) 363-4321
Fax: (207) 351-2216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | ST2783 | Maine |
Profile Details
| NPI number | 1063916005 |
|---|---|
| LBN Legal business name | Broderick, Kathryn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2018 |
| Last updated | Mar 23rd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063916005 | NPPES |
| Maine | Other | ST2783 | LICENSE |
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