Individual provider · Type 1 NPI

Broderick Leaks, PhD

Clinical Psychologist · Pasadena, CA

NPI number 1649565102 Active

Practice location

595 E Colorado Blvd, Suite 708
Pasadena, CA 91101-2039

Call (626) 421-8956 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY 24273 (CA)

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 1649565102

Broderick Leaks, PhD's National Provider Identifier is 1649565102, issued on Jun 13, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Pasadena, CA. The record was last updated on Jun 13, 2011.