Laura Fair Brodeske in Santa Ana - Clinical

Laura Fair Brodeske - NPI 1134396070

Laura Fair Brodeske is a Clinical in Santa Ana, California. Laura Fair Brodeske practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laura Fair Brodeske is 1134396070. The last update date is 2008-05-09.

Laura Fair Brodeske's current location address is 2030 E 4th St, Santa Ana, California. You can contact this provider via phone number 7145699976. The mailing address for Laura Fair Brodeske is 2030 E 4th St, Santa Ana, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Laura Fair Brodeske
Address 2030 E 4th St, Santa Ana, California
Phone Number 7145699976
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1134396070
Provider Enumeration Date 2008-05-09
Last Updated Date 2008-05-09

Provider Mailing Address Detail

Address 2030 E 4th St
City Santa Ana
State California (CA)
Post Code 927053940
Phone Number 7145699976
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY21931
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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FAQs about Laura Fair Brodeske

What is the Laura Fair Brodeske's unique identification number?

The Laura Fair Brodeske has been assigned the NPI (National Provider Identifier) Number 1134396070 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Laura Fair Brodeske is located?

The Laura Fair Brodeske is situated at the following address: 2030 E 4Th St, Santa Ana, CA, 927053940.

What is Laura Fair Brodeske's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Laura Fair Brodeske is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.

On what date did the Laura Fair Brodeske receive the assignment of its 1134396070 from the Centers for Medicare & Medicaid Services?

The Laura Fair Brodeske was issued its 1134396070 by the Centers for Medicare & Medicaid Services on 2008-05-09.

As of what date was the information pertaining to Laura Fair Brodeske, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Laura Fair Brodeske, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-09.

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