Individual provider · Type 1 NPI
Dominique Victoria Broadnax, PSYD
Clinical Psychologist · Boston, MA
Practice location
75 Fenwood Rd
Boston, MA 02115-6103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | PS02359 (RI) |
| Clinical Psychologist Primary | 103TC0700X | PSY10001846 (MA) |
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 1679205074
Dominique Victoria Broadnax, PSYD's National Provider Identifier is 1679205074, issued on Jun 26, 2022. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Boston, MA. The record was last updated on Oct 21, 2025.