TYLER BRODERICK, MS, LPC

Counselor - Professional

Active Individual
NPI: 1396080917

Practice Address

521 W LOTT ST
Buffalo, WY 82834

Phone: (307) 684-5531

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No PPC721 (WY)
Counselor - Professional 101YP2500X Yes LPC-1434 (WY)

Frequently Asked Questions

NPI 1396080917 is the National Provider Identifier for TYLER BRODERICK, MS, LPC, a Counselor - Professional provider located in Buffalo, WY. This NPI was enumerated on December 7, 2012.
TYLER BRODERICK, MS, LPC practices at 521 W LOTT ST, Buffalo, WY 82834.

Quick Facts

NPI
1396080917
Type
Individual
Enumerated
Dec 7, 2012
Last Updated
Jul 9, 2019

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