Individual
DR. JANAN BROADBENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2 HAMILL RD, SUITE 120, BALTIMORE, MD 21210-1837
(410) 825-5577
(410) 468-2555
Mailing address
2 HAMILL RD, SUITE 120, BALTIMORE, MD 21210-1806
(410) 825-5577
(410) 468-2555
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1275
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G078J
CAREFIRSTBLUECROSSBLUESHI
MD
Enumeration date
04/23/2007
Last updated
06/13/2011
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