| Ms Mary Kathleen Broderick, MS ED | |
|
25 Van Rensselaer Dr, Rensselaer, NY 12144-1491 | |
| (518) 436-4618 | |
| Not Available |
| Full Name | Ms Mary Kathleen Broderick |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 25 Van Rensselaer Dr, Rensselaer, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699057679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 008816 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mary Kathleen Broderick, MS ED 26 Sunburn Ln, Clarksville, NY 12041-1209 Ph: (518) 768-8048 | Ms Mary Kathleen Broderick, MS ED 25 Van Rensselaer Dr, Rensselaer, NY 12144-1491 Ph: (518) 436-4618 |
Kristin Elizabeth Donohue, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6 Siena Ln, Rensselaer, NY 12144 Phone: 518-915-1412 | |
Ms. Taylor O Johnston, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25 Van Rensselaer Dr, Rensselaer, NY 12144 Phone: 518-436-4618 |