Individual provider · Type 1 NPI

Charnelle L. Broaddus

Health Service Psychologist · Seattle, WA

NPI number 1316581341 Active

Practice location

2600 SW Holden St
Seattle, WA 98126-3505

Call (206) 933-7055 Map

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100XNone listed

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1316581341

Charnelle L. Broaddus's National Provider Identifier is 1316581341, issued on Nov 2, 2019. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Seattle, WA. The record was last updated on Nov 2, 2019.