| Broca Life Options Llc | |
|
1492 S Mill Ave Ste. 114 Tempe AZ 85281-5652 | |
| (480) 557-5710 | |
| (480) 557-5712 |
| Full Name | Broca Life Options Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1492 S Mill Ave, Tempe, Arizona |
| Authorized Official Name and Position | L Emily Brown Cabezudo (DOCTOR) |
| Authorized Official Contact | 4805575710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broca Life Options Llc 3941 E Chandler Blvd Ste. 106-158 Phoenix AZ 85048-0301 Ph: (480) 557-5710 | Broca Life Options Llc 1492 S Mill Ave Ste. 114 Tempe AZ 85281-5652 Ph: (480) 557-5710 |
| NPI Number | 1710106489 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 06/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710106489 | NPI | - | NPPES |
| 700885-000 | Other | AZ | MAGELLAN |
| 8951723 | Other | AZ | CIGNA # |
| AZ0618080 | Other | AZ | BCBSAZ |
| 700885000 | Other | AZ | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3576 (Arizona) | Primary |
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