Charles P Broderick in Sacramento - Clinical Neuropsychologist
Charles P Broderick - NPI 1407808280
Charles P Broderick is a Clinical Neuropsychologist in Sacramento, California. Charles P Broderick practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Charles P Broderick is 1407808280. The last update date is 2007-07-08.
Charles P Broderick's current location address is 1600 9th St, Sacramento, California. You can contact this provider via phone number 9166542431 and fax number 9169543186. The mailing address for Charles P Broderick is 1600 9th St, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles P Broderick |
|---|---|
| Address | 1600 9th St, Sacramento, California |
| Phone Number | 9166542431 |
| Fax Number | 9169543186 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1407808280 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1600 9th St |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958146414 |
| Phone Number | 9166542431 |
| Fax Number | 9169543186 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PSY17352 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Post Comment/ Review Below
What is the Charles P Broderick's 1407808280?
The Charles P Broderick's NPI (National Provider Identifier) Number is 1407808280. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Charles P Broderick located?
The Charles P Broderick is located at 1600 9Th St, Sacramento, CA 958146414.
What is Charles P Broderick's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Charles P Broderick is Clinical Neuropsychologist, and the taxonomy classification code that categorizes this area of expertise is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407808280 to Charles P Broderick?
The Charles P Broderick received its 1407808280 assignment from the Centers for Medicare & Medicaid Services on 2006-05-17.
As of what date were the details related to Charles P Broderick most recently updated or revised?
The information pertaining to Charles P Broderick, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.