| Doctor Name: | MS. MARY ELLEN BROUGHTON |
| NPI Number: | 1013067180 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | R0259181 |
| Business Practice Address: | 243 Main St Suite 203 New Paltz, NY - 125611325 |
| Business Phone Number: | 8452558323 |
| Business Fax Number: | 8452555832 |
| Mailing Address: | Po Box 357, GARDINER |
| State: | NY |
| Postal Code: | 12525 |
| Phone Number: | 8452558323 |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 08/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | R0259181 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |