Doctor Name: | DR. STEVE BRODY |
NPI Number: | 1386847952 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PSY 6194 |
Business Practice Address: | 800 Hillcrest Dr Ste 7 Cambria, CA - 934282840 |
Business Phone Number: | 8059275020 |
Business Fax Number: | |
Mailing Address: | 4485 Santa Rosa Creek Rd, CAMBRIA |
State: | CA |
Postal Code: | 934283526 |
Phone Number: | 8059275020 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY 6194 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |