Broca Life Options Llc in Phoenix - Psychologist
Broca Life Options Llc - NPI 1710106489
Broca Life Options Llc is a Psychologist in Phoenix, Arizona. Broca Life Options Llc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Broca Life Options Llc is 1710106489. The last update date is 2010-06-02.
Broca Life Options Llc's current location address is 3941 E Chandler Blvd, Phoenix, Arizona. You can contact this provider via phone number 4805575710 and fax number 4805575712. The mailing address for Broca Life Options Llc is 3941 E Chandler Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broca Life Options Llc |
|---|---|
| Address | 3941 E Chandler Blvd, Phoenix, Arizona |
| Phone Number | 4805575710 |
| Fax Number | 4805575712 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Brown Cabezudo L Emily |
| Credentials | PHD |
| Telephone Number | 4805575710 |
NPI Number Detail
| NPI Number | 1710106489 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2010-06-02 |
Provider Mailing Address Detail
| Address | 3941 E Chandler Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850480301 |
| Phone Number | 4805575710 |
| Fax Number | 4805575712 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 3576 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 700885-000 | AZ | MAGELLAN | |
| 8951723 | AZ | CIGNA # | |
| AZ0618080 | AZ | BCBSAZ | |
| 700885000 | AZ | MAGELLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Broca Life Options Llc by the Centers for Medicare & Medicaid Services?
The Broca Life Options Llc has been issued the NPI (National Provider Identifier) 1710106489 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Broca Life Options Llc's physical address?
The Broca Life Options Llc is physically located at 3941 E Chandler Blvd, in the city of Phoenix, AZ, with the postal code 850480301.
What is the Broca Life Options Llc's specialty and taxonomy code?
The Broca Life Options Llc's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did Broca Life Options Llc receive its 1710106489 assignment from the Centers for Medicare & Medicaid Services?
The Broca Life Options Llc was assigned its 1710106489 on 2007-04-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Broca Life Options Llc most recently updated or revised?
The details related to Broca Life Options Llc, including its address, specialty, and other relevant information, were last updated or revised on 2010-06-02.