Organization
BROADVISTAS PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JUDSON BROADHURST PSYD (OWNER)
(303) 278-7418
Entity
Organization
Contact information
Practice address
8550 E LOWRY BLVD, DENVER, CO 80230-6932
(888) 948-6789
(877) 345-3501
Mailing address
1 KALISA WAY STE 101, PARAMUS, NJ 07652-3508
(888) 948-6789
(877) 345-3501
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
01/06/2023
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