Organization
BROCA LIFE OPTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L EMILY BROWN CABEZUDO PHD (DOCTOR)
(480) 557-5710
Entity
Organization
Contact information
Practice address
1492 S MILL AVE, STE. 114, TEMPE, AZ 85281-5652
(480) 557-5710
(480) 557-5712
Mailing address
3941 E CHANDLER BLVD, STE. 106-158, PHOENIX, AZ 85048-0301
(480) 557-5710
(480) 557-5712
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3576
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700885-000
MAGELLAN
AZ
01
—
700885000
MAGELLAN
AZ
01
—
8951723
CIGNA #
AZ
01
—
AZ0618080
BCBSAZ
AZ
Enumeration date
04/24/2007
Last updated
06/02/2010
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