Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles P Broderick, PHD

Individual provider Clinical Neuropsychologist · NPI 1407808280

Charles P Broderick, PHD is a Clinical Neuropsychologist in Atascadero, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

10333 El Camino Real
Atascadero, CA 93423-7001
Phone: (805) 468-2000
Fax: (805) 466-6011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY17352 (CA)

Record details

NPI number1407808280
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJuly 13, 2026
Mailing address1600 9th St, Room 205 Mailstop 2 3, Sacramento, CA 95814-6414

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