Individual
DR. DORITH BRODBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
887 KELLUM ST, LINDENHURST, NY 11757-1508
(631) 884-3000
Mailing address
14 VENETIAN PROMENADE, LINDENHURST, NY 11757-6536
(631) 957-4601
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016593
NY
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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