SUSAN BROADWELL, MA.PSY.D.

Psychologist

Active Individual
NPI: 1740300078

Practice Address

11505 36TH AVE N
Plymouth, MN 55441

Phone: (763) 509-3885

Specialties

Specialty Code Primary License
Psychologist 103T00000X Yes -

Frequently Asked Questions

NPI 1740300078 is the National Provider Identifier for SUSAN BROADWELL, MA.PSY.D., a Psychologist provider located in Plymouth, MN. This NPI was enumerated on March 30, 2007.
SUSAN BROADWELL, MA.PSY.D. practices at 11505 36TH AVE N, Plymouth, MN 55441.

Quick Facts

NPI
1740300078
Type
Individual
Enumerated
Mar 30, 2007
Last Updated
Jul 8, 2007

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