Individual
MR. THOMAS JUDSON BROADHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, PSYD
Contact information
Practice address
3131 S FEDERAL BLVD, DENVER, CO 80236-2713
(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
PSY.0004234
CO
390200000X
Student in an Organized Health Care Education/Training Program
79411
CO
Other
Enumeration date
06/27/2007
Last updated
07/28/2022
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