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MRS. KRISTIN KATHLEEN BRODERICK LCM
NPI 1962772129
Marriage & Family Therapist in Reisterstown, MD

Active since January 05, 2012
100 OWINGS COURT, SUITE 8, REISTERSTOWN, MD 21136(410) 526-7100(410) 526-7138 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kristin Kathleen Broderick Lcm NPPES

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

MRS. KRISTIN KATHLEEN BRODERICK LCM (NPI 1962772129) is an individual marriage & family therapist in Reisterstown, Maryland, licensed in Pennsylvania (000635) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1962772129
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. KRISTIN KATHLEEN BRODERICKCredential: LCM
Location Address100 OWINGS COURT, SUITE 8Reisterstown, MD 21136
Mailing Address10400 Ridgland Road, Ste 1Cockeysville, MD 21030 · (410) 628-6120 · Fax (410) 628-9825
Phone(410) 526-7100
Fax(410) 526-7138
Sole ProprietorYes
Enumeration DateJanuary 5, 2012
Last NPPES UpdateAugust 25, 2014
✔ NPI 1962772129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in PA · 000635
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
100 OWINGS COURT, Reisterstown, MD 21136
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Other Names 1

Former Name (1)Miss Kristin Kathleen Cassidy

Other Providers at the Same Location NPPES 4

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

DR. JEFFREY DAVID GARY PHD
Psychologist
100 OWINGS COURT, STE 8
REISTERSTOWN, MD 21136
Baltimore County (410) 526-7100
HORMONES & IMMUNOLOGY PERSONALIZED MEDICINE
Nurse Practitioner (Psychiatric/Mental Health)
100 OWINGS COURT, STE 12
REISTERSTOWN, MD 21136
Baltimore County (410) 220-5600
MR. DEVON ANTHONY BLACKWOOD LCADC
Counselor (Addiction (Substance Use Disorder))
100 OWINGS COURT, STE 8
REISTERSTOWN, MD 21136
Baltimore County (410) 526-7100
MS. JENNIFER L PEMBERTON MS LCPC
Counselor
100 OWINGS COURT, STE 8
REISTERSTOWN, MD 21136
Baltimore County (410) 526-7100

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 Kristin Broderick's NPI number?

The NPI number for Kristin Broderick is 1962772129. It was assigned to this individual provider in the NPPES registry on January 5, 2012. The provider is also known as Miss Kristin Kathleen Cassidy.

Where is Kristin Broderick located?

Kristin Broderick practices at 100 Owings Court Suite 8, Reisterstown, MD 21136. The listed phone number is (410) 526-7100.

What is Kristin Broderick's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Kristin Broderick was last updated on August 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.