DEBRA LYNN BRODERICK CDCA
NPI 1134613243
Counselor - Addiction (Substance Use Disorder) in Logan, OH

Active since June 21, 2018
30663 RED ROCK CT # 1, LOGAN, OH 43138(740) 888-1377(740) 879-2970 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Debra Lynn Broderick Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA LYNN BRODERICK CDCA (NPI 1134613243) is an individual addiction (substance use disorder) provider in Logan, Ohio, licensed in Ohio (164844) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1134613243
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDEBRA LYNN BRODERICKCredential: CDCA
Location Address30663 RED ROCK CT # 1Logan, OH 43138-9672
Mailing Address30663 Red Rock Ct # 1Logan, OH 43138-9672 · (740) 888-1377 · Fax (740) 879-2970
Fax(740) 879-2970
Sole ProprietorNo
Enumeration DateJune 21, 2018
NPI 1134613243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · 164844
30663 RED ROCK CT # 1, Logan, OH 43138

Other Identifiers 1

Medicaid0096642OH

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
30663 RED ROCK CT # 1
LOGAN, OH 43138

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Broderick's NPI number?

The NPI number for Debra Broderick is 1134613243. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Debra Broderick located?

Debra Broderick practices at 30663 Red Rock Ct # 1, Logan, OH 43138. The listed phone number is (740) 888-1377.

What is Debra Broderick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Debra Broderick was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.