Broderick, Susan S
Broderick, Susan S is an individual health care provider with primary practice located at 4400 Breckenridge Ln 1St Floor, Louisville KY 40218-4082. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Broderick, Susan S can be contacted via phone (502) 589-8600.Contact Information
Primary practice address
4400 Breckenridge Ln 1St Floor
Louisville KY 40218-4082
Phone: (502) 589-8600
Fax: (502) 589-8771
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1389 | Kentucky |
Profile Details
NPI number | 1326184417 |
---|---|
LBN Legal business name | Broderick, Susan S |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 29th, 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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