| Broadvistas Psychology Llc | |
|
3455 S Corona St Englewood CO 80113-2810 | |
| (888) 948-6789 | |
| (877) 345-3501 |
| Full Name | Broadvistas Psychology Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3455 S Corona St, Englewood, Colorado |
| Authorized Official Name and Position | Thomas J Broadhurst (OWNER/PROVIDER) |
| Authorized Official Contact | 7208388141 |
| 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 3455 S Corona St Englewood CO 80113-2810 Ph: (888) 948-6789 |
| NPI Number | 1073185666 |
|---|---|
| Provider Enumeration Date | 07/13/2021 |
| Last Update Date | 08/04/2025 |
| Certification Date | 08/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073185666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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