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DR. ROBERT EDWARD BRODIE PH.D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1669707220

Individual Registrant:
DR. ROBERT EDWARD BRODIE PH.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE PATTON, CA 92369 US
Tel: 909-425-7679  Fax: 909-425-6635

Contact information for business:
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE PATTON, CA 92369 US
Tel: 909-425-7679  Fax: 909-425-6635

Registration Information:
NPI: 1669707220
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CAPSY21343

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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