Robert Arthur Broenen in San Clemente - Clinical
Robert Arthur Broenen - NPI 1144362914
Robert Arthur Broenen is a Clinical in San Clemente, California. Robert Arthur Broenen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert Arthur Broenen is 1144362914. The last update date is 2012-03-07.
Robert Arthur Broenen's current location address is 161 Avenida Cabrillo, San Clemente, California. You can contact this provider via phone number 9495429052 and fax number 9495423280. The mailing address for Robert Arthur Broenen is 161 Avenida Cabrillo, San Clemente, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Arthur Broenen |
|---|---|
| Address | 161 Avenida Cabrillo, San Clemente, California |
| Phone Number | 9495429052 |
| Fax Number | 9495423280 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1144362914 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2012-03-07 |
Provider Mailing Address Detail
| Address | 161 Avenida Cabrillo |
|---|---|
| City | San Clemente |
| State | California (CA) |
| Post Code | 926724040 |
| Phone Number | 9495429052 |
| Fax Number | 9495423280 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY13147 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OPL13147 | CA | TRIWEST |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Robert Arthur Broenen by the Centers for Medicare & Medicaid Services?
The Robert Arthur Broenen has been assigned the NPI (National Provider Identifier) 1144362914 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Robert Arthur Broenen is located?
The Robert Arthur Broenen is situated at the following address: 161 Avenida Cabrillo, San Clemente, CA, 926724040.
What is Robert Arthur Broenen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert Arthur Broenen's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1144362914 to Robert Arthur Broenen?
The Centers for Medicare & Medicaid Services assigned the 1144362914 to Robert Arthur Broenen on 2007-02-12.
As of what date was the information regarding Robert Arthur Broenen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert Arthur Broenen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-03-07.