Individual
IRENE BRODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
937 FRANKLIN BLVD, LEMOORE, CA 93246-4700
(559) 998-2793
Mailing address
937 FRANKLIN BLVD, LEMOORE, CA 93246-4700
(559) 998-2793
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301019211
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
05/10/2019
Last updated
01/02/2025
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