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TYLER BRODERICK MS, LPC
NPI 1396080917
Counselor - Professional in Buffalo, WY

Active since December 07, 2012
521 W LOTT ST, BUFFALO, WY 82834(307) 684-5531(307) 684-2912 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyler Broderick Ms, Lpc NPPES

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

TYLER BRODERICK MS, LPC (NPI 1396080917) is an individual professional provider in Buffalo, Wyoming, licensed in Wyoming (LPC-1434) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1396080917
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTYLER BRODERICKCredential: MS, LPC
Location Address521 W LOTT STBuffalo, WY 82834-1642
Mailing Address909 Long Dr Ste CSheridan, WY 82801-3282 · (307) 672-8958 · Fax (307) 672-8950
Phone(307) 684-5531
Fax(307) 684-2912
Sole ProprietorNo
Enumeration DateDecember 7, 2012
Last NPPES UpdateJuly 9, 2019
✔ NPI 1396080917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WY · LPC-1434
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PPC721 (WY)
521 W LOTT ST, Buffalo, WY 82834
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Other Providers at the Same Location NPPES 16

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

MRS. RACHEL LEIGH STENCEL
Community Health Worker
521 W LOTT ST
BUFFALO, WY 82834
Johnson County (307) 648-5531
VOLUNTEERS OF AMERICA NORTHERN ROCKIES
Clinic/Center (Mental Health (Including Community Mental Health Center))
521 W LOTT ST
BUFFALO, WY 82834
Johnson County (307) 684-5531
STARRLEE HEADY LMHC, LPC
Counselor (Professional)
521 W LOTT ST
BUFFALO, WY 82834
Johnson County (307) 684-5531
BROOKE KRIVICKAS
Case Manager/Care Coordinator
521 W LOTT ST
BUFFALO, WY 82834
Johnson County (307) 684-5531
VOLUNTEERS OF AMERICA NORTHERN ROCKIES
Clinic/Center (Rehabilitation, Substance Use Disorder)
521 W LOTT ST
BUFFALO, WY 82834
Johnson County (307) 684-5531
MRS. SYDNEY MARIE ROWE LCSW
Social Worker (Clinical)
521 W LOTT ST
BUFFALO, WY 82834
Johnson County (307) 684-5531
KADELYN LEIGH BURD
Peer Specialist
521 W LOTT ST
BUFFALO, WY 82834
Johnson County (307) 684-5531
NANCY PAULINE KOZISEK
Community Health Worker
521 W LOTT ST
BUFFALO, WY 82834
Johnson County (307) 684-5531

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 Tyler Broderick's NPI number?

The NPI number for Tyler Broderick is 1396080917. It was assigned to this individual provider in the NPPES registry on December 7, 2012.

Where is Tyler Broderick located?

Tyler Broderick practices at 521 W Lott St, Buffalo, WY 82834. The listed phone number is (307) 684-5531.

What is Tyler Broderick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Tyler Broderick was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.