Individual provider · Type 1 NPI

Staci Broadwell, PSY.D

Clinical Psychologist · Phoenix, AZ

NPI number 1467696419 Active

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

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X017898 (NY)
Clinical Psychologist Primary 103TC0700X4519 (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.