Nicki Broeking, PSY.D

NPI #1699492397 in Marina Del Rey, California

Provider Information

NPI Number
1699492397
Entity Type
Individual
Name
Nicki Broeking, PSY.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist
Credential
PSY.D
Enumeration Date
Oct 24, 2022
Last Updated
Oct 24, 2022

Practice Location

Address
13700 MARINA POINTE DR UNIT 1430
ZIP Code
90292-9269
Phone
(310) 409-7004

Specialties & Taxonomy Codes

Specialty
Psychologist

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