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

Matthew Stuart Broudy, PHD

Individual provider Clinical Psychologist · NPI 1649348145

Matthew Stuart Broudy, PHD is a Clinical Psychologist in Lake Ridge, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

2239F Tacketts Mill Dr
Lake Ridge, VA 22192
Phone: (703) 490-0336
Fax: (703) 490-4525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810003712 (VA)

Record details

NPI number1649348145
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 1, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2239f Tacketts Mill Drive, Lake Ridge, VA 22192

Other providers in Lake Ridge