Clifford Michael Brothers, PhD
Psychologist, Clinical in San Jose, CA. Individual provider (NPI-1).
NPI number1700935160
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1700935160
- Entity type
- Individual (NPI-1)
- Name
- Clifford Michael Brothers
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY7003 | CA | |
| 106H00000X | Marriage & Family Therapist | MFT12129 | CA |
Practice location
1101 S Winchester BlvdBldg O Suite 284
San Jose, CA 95128
Phone 408-271-8558 · Fax 408-248-8260
Mailing address
4079 Glenwood DriveScotts Valley, CA 95066
Phone 408-271-8558 · Fax 408-248-8250
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