Individual
MR. THOMAS JUDSON BROADHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, PSYD
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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