Charles P Broderick PHD

  • NPI 1407808280
According to our database, the NPI number for Charles P Broderick PHD is 1407808280 and activated since 17 years ago. Charles P Broderick PHD is an individual provider who specializes in Clinical Neuropsychologist, and the primary practice location is 10333 El Camino Real, Atascadero, CA 93423. You can also contact Charles P Broderick PHD via telephone number is (805) 468-2000. Provider NPI information was last updated on 07/08/2007.

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Overview of Charles P Broderick PHD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/17/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 103G00000X
  • Specialty: Clinical Neuropsychologist
  • License Number: PSY17352
  • License State: CA

Provider Mailing Address

  • Address: 1600 9th St
    Room 205 Mailstop 2 3
    Sacramento, CA 95814
  • Phone: 916-654-2431
  • Fax: 916-954-3186

Provider Practice Location

  • Address: 10333 El Camino Real
    Atascadero, CA 93423
  • Phone: 805-468-2000
  • Fax: 805-466-6011

Scope of Practice

  • Taxonomy Code: 103G00000X
  • Specialty: Clinical Neuropsychologist
  • License Number: PSY17352
  • License State: CA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Charles P Broderick PHD?
  • A: The npi number for Charles P Broderick PHD is 1407808280.
  • Q: What are Charles P Broderick PHD's specialties?
  • A: Charles P Broderick PHD's specialties are Clinical Neuropsychologist and different specialities.
  • Q: What is the medical license for Charles P Broderick PHD?
  • A: The medical license number for Charles P Broderick PHD is PSY17352 and issued in CA in USA.
  • Q: Where is Charles P Broderick PHD practice location?
  • A: Charles P Broderick PHD is practicing at 10333 El Camino Real, Atascadero, CA 93423.
  • Q: How to contact Charles P Broderick PHD?
  • A: You can contact Charles P Broderick PHD via 805-468-2000.
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