Broderick, Kevin Dee

Broderick, Kevin Dee is an individual health care provider with primary practice located at 94 E Pages Ln Ste A , Centerville UT 84014-2216. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Broderick, Kevin Dee can be contacted via phone (801) 294-0578.

Contact Information

Primary practice address
94 E Pages Ln Ste A Centerville UT 84014-2216
Phone: (801) 294-0578
Fax: (801) 298-2147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 6285730-3902 Utah

Profile Details

NPI number 1255485793
LBN Legal business name Broderick, Kevin Dee
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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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