Individual
DR. MARTHALEE T BROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
222 HARVARD AVE, BOX 155, MOUNT GRETNA, PA 17064
(717) 964-1850
(717) 964-1850
Mailing address
222 HARVARD AVE, BOX 155, MOUNT GRETNA, PA 17064
(717) 964-1850
(717) 964-1850
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS007990L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017546030005
—
PA
Enumeration date
05/10/2006
Last updated
04/12/2016
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