MICHELLE BRODERICK CCC-SLP
NPI 1568299279
Speech-Language Pathologist in Virginia Beach, VA

Q: What is Michelle Broderick's NPI number?

The NPI number for Michelle Broderick is 1568299279. It was assigned to this individual provider in the NPPES registry on September 17, 2024. The provider is also known as Michelle Wills Ccc-Slp.

Q: What is Michelle Broderick's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since September 17, 2024

2103 AGECROFT RD, VIRGINIA BEACH, VA 23454(757) 754-6980 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michelle Broderick Ccc-slp NPPES

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

MICHELLE BRODERICK CCC-SLP (NPI 1568299279) is an individual speech-language pathologist provider in Virginia Beach, Virginia, licensed in Virginia (2202003837) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1568299279

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMICHELLE BRODERICKCredential: CCC-SLP

Location Address2103 AGECROFT RDVirginia Beach, VA 23454-5825

Mailing Address2103 Agecroft RdVirginia Beach, VA 23454-5825 · (757) 754-6980

Phone(757) 754-6980

Sole ProprietorNo

Enumeration DateSeptember 17, 2024

NPPES CertifiedSeptember 17, 2024

✔ NPI 1568299279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in VA · 2202003837

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

2103 AGECROFT RD, Virginia Beach, VA 23454

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Other Names 1

Other Name (5)Michelle Wills Ccc-slp

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 Michelle Broderick's NPI number?

The NPI number for Michelle Broderick is 1568299279. It was assigned to this individual provider in the NPPES registry on September 17, 2024. The provider is also known as Michelle Wills Ccc-Slp.

Where is Michelle Broderick located?

Michelle Broderick practices at 2103 Agecroft Rd, Virginia Beach, VA 23454. The listed phone number is (757) 754-6980.

What is Michelle Broderick's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Michelle Broderick was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.