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Dr. Joshua Jefferson Broman-fulks, PHD
Exercise & Sports Psychologist in Boone, North Carolina
NPI 1184702151

Joshua Jefferson Broman-fulks is a Exercise & Sports Psychologist based in Boone, NC and is specialized in Exercise & Sports. Joshua Jefferson Broman-fulks practices in Boone, NC and has the professional credentials of PHD. The NPI Number for Joshua Jefferson Broman-fulks is 1184702151 and holds a License No. 3587 (North Carolina).

The current practice location address for Joshua Jefferson Broman-fulks is 222 Birch St, Boone, NC and can be reached out via phone at 828-406-1760 and via fax at 828-264-6512.

Location: 222 Birch St, Boone, NC, 28607-5067
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184702151
Provider Name
Joshua Jefferson Broman-fulks
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
222 Birch St, Boone, NC, 28607-5067
Phone Number
828-406-1760
Fax Number
828-264-6512
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6001066 05 NC
069UW 01 NC BLUE CROSS BLUE SHIELD NORTH CAROLINA
institution
Provider Business Practice Location Address Details
Address
222 Birch St
City
Boone
State
North Carolina
Zip
28607-5067
Phone Number
828-406-1760
Fax Number
828-264-6512
person
Provider Business Mailing Address Details
Address
222 Birch St
City
Boone
State
North Carolina
Zip
28607-5067
Phone Number
828-406-1760
Fax Number
828-264-6512
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Cognitive & Behavioral
Taxonomy
103TB0200X
License No.
3587 (North Carolina)
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
3587 (North Carolina)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Exercise & Sports
Taxonomy
103TE1100X
License No.
3587 (North Carolina)
Definition
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists. Sport Psychology interventions are designed to assist athletes and other sports participants (e.g., coaches, administrators, parents) from a wide array of settings, levels of competition, and ages, ranging from recreational youth participants to professional and Olympic athletes to master's level performers.
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