SUSAN E BROADWELL MA.PSY.D.
NPI 1740300078
Psychologist in Plymouth, MN

Active since March 30, 2007
11505 36TH AVE N, PLYMOUTH, MN 55441(763) 509-3885(763) 559-0149 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan E Broadwell Ma.psy.d. NPPES

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

SUSAN E BROADWELL MA.PSY.D. (NPI 1740300078) is an individual psychologist in Plymouth, Minnesota and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1740300078
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSUSAN E BROADWELLCredential: MA.PSY.D.
Location Address11505 36TH AVE NPlymouth, MN 55441-2304
Mailing Address11505 36th Ave NPlymouth, MN 55441-2304 · (763) 509-3885 · Fax (763) 559-0149
Fax(763) 559-0149
Sole ProprietorNo
Enumeration DateMarch 30, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1740300078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
11505 36TH AVE N, Plymouth, MN 55441

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.

Registered Nurse (Addiction (Substance Use Disorder))
11505 36TH AVE N
PLYMOUTH, MN 55441
Student in an Organized Health Care Education/Training Program
11505 36TH AVE N
PLYMOUTH, MN 55441
Student in an Organized Health Care Education/Training Program
11505 36TH AVE N
PLYMOUTH, MN 55441
Student in an Organized Health Care Education/Training Program
11505 36TH AVE N
PLYMOUTH, MN 55441
Student in an Organized Health Care Education/Training Program
11505 36TH AVE N
PLYMOUTH, MN 55441
Counselor (Professional)
11505 36TH AVE N
PLYMOUTH, MN 55441
Student in an Organized Health Care Education/Training Program
11505 36TH AVE N
PLYMOUTH, MN 55441
Counselor (Mental Health)
11505 36TH AVE N
PLYMOUTH, MN 55441

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 Susan Broadwell's NPI number?

The NPI number for Susan Broadwell is 1740300078. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Susan Broadwell located?

Susan Broadwell practices at 11505 36th Ave N, Plymouth, MN 55441. The listed phone number is (763) 509-3885.

What is Susan Broadwell's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Susan Broadwell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.