Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda V Broderick, PHD

Individual provider Psychologist · NPI 1720752553

Amanda V Broderick, PHD is a Psychologist in Indianapolis, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2021
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1002 Wishard Blvd Ste 4110
Indianapolis, IN 46202-4164
Phone: (317) 944-8162
Fax: (317) 948-4848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (888) 484-3258

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X · Licence 20043498A (IN)
Psychologist Taxonomy 103T00000X · Licence 20043498A (IN)

Record details

NPI number1720752553
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 5, 2021
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

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