Broderick, Amanda V

Broderick, Amanda V is an individual health care provider with primary practice located at 1002 Wishard Blvd Ste 4110 , Indianapolis IN 46202-4164. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Broderick, Amanda V can be contacted via phone (317) 944-8162.

Contact Information

Primary practice address
1002 Wishard Blvd Ste 4110 Indianapolis IN 46202-4164
Phone: (317) 944-8162
Fax: (317) 948-4848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20043498A Indiana
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 20043498A Indiana

Profile Details

NPI number 1720752553
LBN Legal business name Broderick, Amanda V
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2021
Last updated May 19th, 2022 - about 3 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.

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