Individual
DR. MARIAN JUDITH BROADUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
436 W 2ND ST, LEXINGTON, KY 40507-1040
(859) 231-7137
(859) 253-0098
Mailing address
436 W 2ND ST, LEXINGTON, KY 40507-1040
(859) 231-7137
(859) 253-0098
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
834
KY
Other
Enumeration date
04/24/2006
Last updated
07/09/2007
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