Individual provider · Type 1 NPI
Staci Broadwell, PSY.D
Clinical Psychologist · Phoenix, AZ
Practice location
3830 E Van Buren St
Phoenix, AZ 85008-6920
Fax (602) 286-0808
Mailing address
2702 N 3rd St Ste 4020
Phoenix, AZ 85004-4608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | 017898 (NY) |
| Clinical Psychologist Primary | 103TC0700X | 4519 (AZ) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1467696419
Staci Broadwell, PSY.D's National Provider Identifier is 1467696419, issued on Apr 21, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 12, 2024.