Broderick, Debra Jean
Broderick, Debra Jean is an sole proprietor health care provider with primary practice located at 357 Kellogg Blvd E , Saint Paul MN 55101-1411. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Broderick, Debra Jean can be contacted via phone (651) 295-1422.Contact Information
Primary practice address
357 Kellogg Blvd E
Saint Paul MN 55101-1411
Phone: (651) 295-1422
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 4744 | Minnesota |
Profile Details
| NPI number | 1639204423 |
|---|---|
| LBN Legal business name | Broderick, Debra Jean |
| Credentials | PYS.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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