Darrell L. Broaddus in Citrus Heights - Clinical
Darrell L. Broaddus - NPI 1265616973
Darrell L. Broaddus is a Clinical in Citrus Heights, California. Darrell L. Broaddus practices all healthcare services and medical treatments related to Clinical. The NPI Number for Darrell L. Broaddus is 1265616973. The last update date is 2007-12-18.
Darrell L. Broaddus's current location address is 6461 Aspen Gardens Way, Citrus Heights, California. You can contact this provider via phone number 9167057388. The mailing address for Darrell L. Broaddus is 6461 Aspen Gardens Way, Citrus Heights, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darrell L. Broaddus |
|---|---|
| Address | 6461 Aspen Gardens Way, Citrus Heights, California |
| Phone Number | 9167057388 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1265616973 |
|---|---|
| Provider Enumeration Date | 2007-12-18 |
| Last Updated Date | 2007-12-18 |
Provider Mailing Address Detail
| Address | 6461 Aspen Gardens Way |
|---|---|
| City | Citrus Heights |
| State | California (CA) |
| Post Code | 956215626 |
| Phone Number | 9167057388 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 20101 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Darrell L. Broaddus's 1265616973?
The Darrell L. Broaddus's NPI (National Provider Identifier) Number is 1265616973. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Darrell L. Broaddus?
The Darrell L. Broaddus is situated at 6461 Aspen Gardens Way, in the city of Citrus Heights, state of CA, with the zip code 956215626.
What is Darrell L. Broaddus's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Darrell L. Broaddus is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When did Darrell L. Broaddus receive its 1265616973 assignment?
The Darrell L. Broaddus was assigned its 1265616973 on 2007-12-18, which is the date when this unique identifier was issued to the organization.
When was the Darrell L. Broaddus's information last updated?
The Darrell L. Broaddus's information was last updated on 2007-12-18.
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