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

Kaylie Broberg

Individual provider Marriage & Family Therapist · NPI 1053824748

Kaylie Broberg is a Marriage & Family Therapist in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2017.

Licensed in
MN
In the registry since
2017

Practice location Address checks out

9800 Shelard Pkwy Ste 115
Plymouth, MN 55441-6411
Phone: (651) 447-7507
Fax: (763) 432-6001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 3775 (MN)

Record details

NPI number1053824748
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 16, 2017
Last updated in NPPESDecember 28, 2021
Certification dateNovember 29, 2021
Mailing address9800 Shelard Pkwy Ste 115, Plymouth, MN 55441-6411

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