Broenen, Robert Arthur

Broenen, Robert Arthur is an sole proprietor health care provider with primary practice located at 161 Avenida Cabrillo , San Clemente CA 92672-4040. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Broenen, Robert Arthur can be contacted via phone (949) 542-9052.

Contact Information

Primary practice address
161 Avenida Cabrillo San Clemente CA 92672-4040
Phone: (949) 542-9052
Fax: (949) 542-3280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY13147 California

Profile Details

NPI number 1144362914
LBN Legal business name Broenen, Robert Arthur
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Mar 7th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144362914 NPPES
California Other OPL13147 TRIWEST

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