Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DARRELL L. BROADDUS, PH.D.

Active Sole Proprietor

DARRELL L. BROADDUS, PH.D. is a Clinical Psychologist healthcare provider located in LA MESA, California. NPI 1265616973 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · LA MESA, CA

Registration Details

NPI Number: 1265616973
Provider Type: Individual
Gender: Male
NPI Issued: Dec 18, 2007 (18.473368507892 yrs)
Last Updated: Dec 18, 2007
License: PSY 20101 (CA)
Sole Proprietor: Yes

Practice Information

Address: 8029 LA MESA BLVD

SUITE A

LA MESA, CA, 919416434
Browse CA providers · Browse ZIP 91941
Phone: 6196680600
Fax: 6194662662
Primary Specialty: Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in LA MESA, CA

Name	Credential	NPI
DR. DAVID ARTHUR TANSEY	PH.D.	1063404614
DR. DAVID ALLAN SLIER	PH.D.	1528034725
DR. IDALIA E. MCGIVERN	PH.D.	1609820398
DR. KARLYN MARIE PLEASANTS	PSY.D.	1184662850
DR. GEORGES ALEXANDRE TICHY	PSY.D.	1154346070
WILLIAM LOUGHMAN HIGGINS	PH.D.	1366464810

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.