Individual
DONNA K. BROSHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3363
(434) 924-2718
(434) 243-6546
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810002525
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007709854
—
VA
Enumeration date
03/16/2007
Last updated
08/08/2023
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