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Organization

BROADVISTAS PSYCHOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS J BROADHURST PSYD (OWNER)
(888) 948-6789
Entity
Organization

Contact information

Practice address
4356 24TH STREET RD, GREELEY, CO 80634-3330
(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

Other

Enumeration date
09/03/2021
Last updated
11/21/2023
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