Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES P BRODERICK, PHD
ActiveCHARLES P BRODERICK, PHD is a Clinical Neuropsychologist healthcare provider located in ATASCADERO, California. NPI 1407808280 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · ATASCADERO, CA
Registration Details
- NPI Number
- 1407808280
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2006 (20.242089376186 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PSY17352 (CA)
Practice Information
- Address
-
10333 EL CAMINO REALATASCADERO, CA, 934237001Browse CA providers · Browse ZIP 93423
- Phone
- 8054682000
- Fax
- 8054666011
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
Other Clinical Neuropsychologist Providers in ATASCADERO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. LESLIE JOE BOLIN | PHD | 1275585002 |
| KAREN SUE SHEPPARD | PHD | 1497791743 |
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.