Justin Tyler Broussard

  • NPI 1326310632
According to our database, the NPI number for Justin Tyler Broussard is 1326310632 and activated since 12 years ago. Justin Tyler Broussard is an individual provider who specializes in Mental Health, and the primary practice location is 3765 S. Higuera, San Louis Obispo, CA 93401. You can also contact Justin Tyler Broussard via telephone number is (805) 781-3535. Provider NPI information was last updated on 01/27/2014.

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Overview of Justin Tyler Broussard

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/01/2012
  • Last updated: 01/27/2014

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 1750 Prefumo Canyon Rd
    San Louis Obispo, CA 93405
  • Phone: 805-781-3535
  • Fax: 805-503-6499

Provider Practice Location

  • Address: 3765 S. Higuera
    Suite 100
    San Louis Obispo, CA 93401
  • Phone: 805-781-3535
  • Fax: 805-503-6499

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number:
  • License State:
  • 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 Justin Tyler Broussard?
  • A: The npi number for Justin Tyler Broussard is 1326310632.
  • Q: What are Justin Tyler Broussard's specialties?
  • A: Justin Tyler Broussard's specialties are Mental Health and different specialities.
  • Q: What is the medical license for Justin Tyler Broussard?
  • A: The medical license number for Justin Tyler Broussard is unknow and issued in unknow in USA.
  • Q: Where is Justin Tyler Broussard practice location?
  • A: Justin Tyler Broussard is practicing at 3765 S. Higuera, San Louis Obispo, CA 93401.
  • Q: How to contact Justin Tyler Broussard?
  • A: You can contact Justin Tyler Broussard via 805-781-3535.
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