Organization
FAMILY RESOURCE CENTER 0384
Active
Other names
Psychological & Family Health (Asso.)
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS E. BROADBENT PH.D. (PSYCHOLOGIST (DIRECTOR))
(602) 866-3432
Entity
Organization
Contact information
Practice address
2432 W, PEORIA AVENUE, SUITE 1327, PHOENIX, AZ 85029
(602) 866-3432
(602) 866-3764
Mailing address
2432 W, PEORIA AVENUE, SUITE 1327, PHOENIX, AZ 85029
(602) 866-3432
(602) 866-3764
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC2693
AZ
103T00000X
Psychologist
Primary
903
AZ
106H00000X
Marriage & Family Therapist
LMFT10254
AZ
Other
Enumeration date
01/30/2007
Last updated
06/11/2013
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