Tyler Broderick, MS, LPC
Tyler Broderick, MS, LPC is a Mental Health Counselor in Buffalo, Wyoming. Licensed in Wyoming. Registered with an NPI since 2012.
- Licensed in
- WY
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
521 W Lott StBuffalo, WY 82834-1642
Phone: (307) 684-5531
Fax: (307) 684-2912
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence LPC-1434 (WY) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence PPC721 (WY) |
Record details
| NPI number | 1396080917 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MS , LPC |
| Sole proprietor | No |
| NPI enumerated | December 7, 2012 |
| Last updated in NPPES | July 9, 2019 |
| Mailing address | 909 Long Dr Ste C, Sheridan, WY 82801-3282 |
Other providers in Buffalo
-
Starrlee Heady, LMHC, LPC
521 W Lott St, Buffalo, WY 82834-1642 · (307) 684-5531