CHARLES P BRODERICK

ATASCADERO, CA
NPI1407808280
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103G00000X Clinical Neuropsychologist
(Licence: CA  PSY17352)
Enumeration Date2006-05-17
Last Update Date2007-07-08
Business Address
-- CHARLES P BRODERICK PHD
10333 EL CAMINO REAL
ATASCADERO, CA 93423-7001
Phone number: 805-468-2000
Mailing Address
-- CHARLES P BRODERICK PHD
1600 9TH ST ROOM 205 MAILSTOP 2 3
SACRAMENTO, CA 95814-6414
Phone number: 916-654-2431
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