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IndividualActive

Matthew Stuart Broudy

PHD

Psychologist - Clinical

NPI: 1649348145Lake Ridge, Virginia, 22192(703) 490-0336Male

About Matthew Stuart Broudy

Matthew Stuart Broudy, PHD, is a male healthcare professional specializing in Psychologist - Clinical with a focus on Clinical, registered under National Provider Identifier (NPI) number 1649348145. Their primary practice is located at 2239F TACKETTS MILL DRIVE, Lake Ridge, Virginia 22192.

Patients can reach the office at (703) 490-0336. Matthew Stuart Broudy has been NPI-registered since 2006.

Doctor Details

Identity & Credentials

NPI Number
1649348145
Entity Type
Individual
First Name
Matthew
Last Name
Broudy
Credential
PHD
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
2239F TACKETTS MILL DRIVE
City
Lake Ridge
State
Virginia
ZIP
22192
Country
United States
Phone
(703) 490-0336
Fax
(703) 490-4525

Specialty & Taxonomy

Primary Specialty
Psychologist - Clinical
Classification
Psychologist
Specialization
Clinical
Taxonomy Code
103TC0700X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
2239F TACKETTS MILL DRIVE
City
LAKE RIDGE
State
VA
ZIP
22192

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Matthew Stuart Broudy's NPI number?
Matthew Stuart Broudy's National Provider Identifier (NPI) is 1649348145. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Matthew Stuart Broudy specialize in?
Matthew Stuart Broudy specializes in Psychologist - Clinical.
Where is Matthew Stuart Broudy located?
Matthew Stuart Broudy practices at 2239F TACKETTS MILL DRIVE, Lake Ridge, Virginia 22192. You can reach them by phone at (703) 490-0336.
Does Matthew Stuart Broudy accept Medicare?
Based on available data, Matthew Stuart Broudy is not currently enrolled in the Medicare program.
Does Matthew Stuart Broudy offer telehealth or virtual visits?
Matthew Stuart Broudy does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Matthew Stuart Broudy is 1649348145.