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:
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Health care specialties

SpecialtyCodeLicense #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 18 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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