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

Chasmal Tyesha Broderick

Individual provider Counselor · NPI 1134744634

Chasmal Tyesha Broderick is a Counselor in San Diego, California. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

8755 Aero Dr Ste 230
San Diego, CA 92123-1750
Phone: (858) 256-2180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1134744634
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2020
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020

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