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

Darrell L. Broaddus, PHD

Individual provider Clinical Psychologist · NPI 1265616973

Darrell L. Broaddus, PHD is a Clinical Psychologist in LA Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

8029 La Mesa Blvd Ste A
LA Mesa, CA 91941-6434
Phone: (619) 668-0600
Fax: (619) 466-2662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY 20101 (CA)

Record details

NPI number1265616973
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 18, 2007
Last updated in NPPESDecember 18, 2007
Mailing address6461 Aspen Gardens Way, Citrus Heights, CA 95621-5626

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