Individual
MR. BRODERICK SAWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
11824 RANSUM DR, LOUISVILLE, KY 40243-2802
(502) 338-0608
Mailing address
11824 RANSUM DR, LOUISVILLE, KY 40243-2802
(502) 338-0608
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
246406
KY
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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