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Kathryn Broderick

NPI 1063916005ActiveIndividual· Speech-Language Pathologist· York, ME

Speech-Language Pathologist in York, Maine, licensed in ME, with an NPI issued in March 2018.

Overview

NPI1063916005
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMar 23, 2018
Last updated in NPPESMar 23, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000XST2783ME

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Speech-Language Pathologist providers in York

All Speech-Language Pathologist providers in Maine →