DR. MARY ELLEN BRODERICK (PH.D.) – Clinical Psychologist, NPI 1356484240

Clinical Psychologist

DR. MARY ELLEN BRODERICK (PH.D.) is a healthcare provider. based in Marianna, Florida. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. They hold a License No. PY 3181 (FL). The NPI Number for DR. MARY ELLEN BRODERICK (PH.D.) is 1356484240

Main info

Female

Name

DR. MARY ELLEN BRODERICK (PH.D.)

NPI

1356484240

Phone

(850) 482-8830

Address

2902 MADISON ST

Enumeration Date

14 February 2007

Last Update Date

8 July 2007

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. MARY ELLEN BRODERICK (PH.D.)

2902 MADISON ST
MARIANNA, FL 324463450
Phone: (850) 482-8830
Type: Location
1126 STILLWATER DR
DELAND, FL 327202571
Phone: (386) 734-5852
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 32446)

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Frequently asked questions

What federal number belongs to DR. MARY ELLEN BRODERICK (PH.D.)?

The federal identifier for DR. MARY ELLEN BRODERICK (PH.D.) is NPI 1356484240.

Is DR. MARY ELLEN BRODERICK (PH.D.)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

What field does DR. MARY ELLEN BRODERICK (PH.D.) work in?

You can think of DR. MARY ELLEN BRODERICK (PH.D.) as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.

What location metadata exists for DR. MARY ELLEN BRODERICK (PH.D.)?

The page summarizes Marianna, Florida for DR. MARY ELLEN BRODERICK (PH.D.); expand the address list for detail.

Is DR. MARY ELLEN BRODERICK (PH.D.) a real provider?

This page reflects official NPPES data for NPI 1356484240. Always confirm identity and privileges with the practice and licensing boards.