Broderick, Sophia

Broderick, Sophia is an individual health care provider with primary practice located at 101 E Redlands Blvd Ste 200 , Redlands CA 92373-4724. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Broderick, Sophia can be contacted via phone (855) 984-1788.

Contact Information

Primary practice address
101 E Redlands Blvd Ste 200 Redlands CA 92373-4724
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 14480 California

Profile Details

NPI number 1013790484
LBN Legal business name Broderick, Sophia
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2023
Last updated Aug 17th, 2023 - about last year

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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