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DR. BETHANY BROJ PSY.D.
NPI 1720674377
Psychologist - Clinical in Charlotte, NC

Active since December 17, 2020
3506 W TYVOLA RD, CHARLOTTE, NC 28208(704) 329-1300 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2021, Jul 15, 2021, Jul 7, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Bethany Broj Psy.d. NPPES

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

DR. BETHANY BROJ PSY.D. (NPI 1720674377) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (5985) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1720674377
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BETHANY BROJCredential: PSY.D.
Location Address3506 W TYVOLA RDCharlotte, NC 28208-7201
Mailing Address3506 W Tyvola RdCharlotte, NC 28208-7201 · (704) 329-1300
Phone(704) 329-1300
Sole ProprietorNo
Enumeration DateDecember 17, 2020
Last NPPES UpdateOctober 18, 20214 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
✔ NPI 1720674377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NC · 5985
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3506 W TYVOLA RD, Charlotte, NC 28208
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Other Providers at the Same Location NPPES 20

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

DR. DAVID AARON RUDD D.O.
Internal Medicine (Infectious Disease)
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
AVIANNA JHANE MARCELIN
Social Worker (Clinical)
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
JERICA RACHEL TEELUCKSINGH
Physical Therapy Assistant
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
MS. EMILY ANNE LUPSOR MSW, LCSW
Social Worker (Clinical)
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
MR. DAVID E ELLIS III
Technician, Pathology (Phlebotomy)
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
DR. KATHY DIANE HALVERSON OD
Optometrist
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
JENNIFER L MERRITT NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 884-1986
KAREN PRISCILLA CORREA RDN
Dietitian, Registered
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300

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 Bethany Broj's NPI number?

The NPI number for Bethany Broj is 1720674377. It was assigned to this individual provider in the NPPES registry on December 17, 2020.

Where is Bethany Broj located?

Bethany Broj practices at 3506 W Tyvola Rd, Charlotte, NC 28208. The listed phone number is (704) 329-1300.

What is Bethany Broj's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Bethany Broj was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.