James L. Broderick, PH.D. Valid NPI

Individual provider · Psychologist · Santa Barbara, CA

NPI

1073663183

Type

Individual (Type 1)

Primary specialty

Psychologist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103T00000X

License number

PSY5668 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-11

Last updated

2009-09-08