Individual provider · Type 1 NPI

Charles P. Broderick, PhD

Clinical Neuropsychologist · Atascadero, CA

NPI number 1407808280 Active

Practice location

10333 El Camino Real
Atascadero, CA 93423-7001

Call (805) 468-2000 Map

Fax (805) 466-6011

Mailing address

1600 9th St, Room 205 Mailstop 2 3
Sacramento, CA 95814-6414

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000XPSY17352 (CA)

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1407808280

Charles P. Broderick, PhD's National Provider Identifier is 1407808280, issued on May 17, 2006. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Atascadero, CA. The record was last updated on Jul 13, 2026.