Broderick, Charles P

Broderick, Charles P is an individual health care provider with primary practice located at 10333 El Camino Real , Atascadero CA 93423-7001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Broderick, Charles P can be contacted via phone (805) 468-2000.

Contact Information

Primary practice address

10333 El Camino Real Atascadero CA 93423-7001

Phone: (805) 468-2000

Fax: (805) 466-6011

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist	103G00000X	PSY17352	California

Profile Details

NPI number	1407808280
LBN Legal business name	Broderick, Charles P
Credentials	PHD
Entity	Individual
Sole proprietor ¹	No
Enumeration date	May 17th, 2006
Last updated	Jul 8th, 2007 - about 17 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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