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MS. MARY KATHLEEN BRODERICK MS ED
NPI 1699057679
Speech-Language Pathologist in Rensselaer, NY

Active since September 15, 2011
25 VAN RENSSELAER DR, RENSSELAER, NY 12144(518) 436-4618 Get Directions Write a Review

NPPES record last updated: September 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mary Kathleen Broderick Ms Ed NPPES

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

MS. MARY KATHLEEN BRODERICK MS ED (NPI 1699057679) is an individual speech-language pathologist provider in Rensselaer, New York, licensed in New York (008816) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1699057679
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. MARY KATHLEEN BRODERICKCredential: MS ED
Location Address25 VAN RENSSELAER DRRensselaer, NY 12144-1491
Mailing Address26 Sunburn LnClarksville, NY 12041-1209 · (518) 768-8048
Phone(518) 436-4618
Sole ProprietorNo
Enumeration DateSeptember 15, 2011
✔ NPI 1699057679 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 NY · 008816
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.
25 VAN RENSSELAER DR, Rensselaer, NY 12144
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Other Providers at the Same Location NPPES 5

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

CHASTON ALEXANDER RICHARDSON LMSW
Social Worker (Clinical)
25 VAN RENSSELAER DR
RENSSELAER, NY 12144
Rensselaer County (518) 396-3520
ALISON RIMMER OTR/L
Occupational Therapist
25 VAN RENSSELAER DR
RENSSELAER, NY 12144
Rensselaer County (518) 465-7509
MS. TAYLOR O JOHNSTON MS, CF-SLP
Speech-Language Pathologist
25 VAN RENSSELAER DR
RENSSELAER, NY 12144
Rensselaer County (518) 436-4618
CARIN D'AMBRO
Registered Nurse
25 VAN RENSSELAER DR
RENSSELAER, NY 12144
Rensselaer County (518) 396-3484
KATY STAATS
Registered Nurse (School)
25 VAN RENSSELAER DR
RENSSELAER, NY 12144
Rensselaer County (518) 396-3486

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 Mary Broderick's NPI number?

The NPI number for Mary Broderick is 1699057679. It was assigned to this individual provider in the NPPES registry on September 15, 2011.

Where is Mary Broderick located?

Mary Broderick practices at 25 Van Rensselaer Dr, Rensselaer, NY 12144. The listed phone number is (518) 436-4618.

What is Mary 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 Mary Broderick was last updated on September 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.