| Broadvistas Psychology, Llc | |
|
4356 24th Street Rd Greeley CO 80634-3330 | |
| (888) 948-6789 | |
| (877) 345-3501 |
| Full Name | Broadvistas Psychology, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4356 24th Street Rd, Greeley, Colorado |
| Authorized Official Name and Position | Thomas J Broadhurst (OWNER) |
| Authorized Official Contact | 8889486789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadvistas Psychology, Llc 1 Kalisa Way Ste 101 Paramus NJ 07652-3508 Ph: (888) 948-6789 | Broadvistas Psychology, Llc 4356 24th Street Rd Greeley CO 80634-3330 Ph: (888) 948-6789 |
| NPI Number | 1841968864 |
|---|---|
| Provider Enumeration Date | 09/03/2021 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841968864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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