Dr. Joshua Jefferson Broman-Fulks
Clinical Psychologist Exercise & Sports Psychologist Cognitive & Behavioral Psychologist
222 Birch St
Boone
, North Carolina 28607-5067
Dr. Joshua Jefferson Broman-Fulks
Clinical Psychologist Exercise & Sports Psychologist Cognitive & Behavioral Psychologist
222 Birch St
Boone
, North Carolina 28607-5067
(828) 262-2974
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Exercise & Sports Psychologist
Languages spoken
- English
Location
First Address
- Dr. Joshua Jefferson Broman-Fulks
- 222 Birch St
- Boone, NC
- Zip : 28607-5067
- Fax : (828) 262-2974
- Phone : (828) 406-1760
Second Address
- Dr. Joshua Jefferson Broman-Fulks
- 222 Birch St
- Boone, NC
- Zip : 28607-5067
- Fax : (828) 264-6512
- Phone : (828) 406-1760
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 3587 | NC |
| Y | 103G00000X | Clinical Psychologist | 3587 | NC |
| Y | 103TC0700X | Clinical Psychologist | 3587 | NC |
| N | 103TE1100X | Exercise & Sports Psychologist | 3587 | NC |
National Provider Identifier
| NPI | 1184702151 |
|---|---|
| Provider Name | Dr. Joshua Jefferson Broman-Fulks |
| First Address | Boone, NC 28607-5067 |
| Second Address | Boone, NC 28607-5067 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 14/09/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 069UW | BLUE CROSS BLUE SHIELD NORTH CAROLINA (01) | NC |
| 6001066 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.