Jennifer K Bradley, Psyd LLC
Psychologist in Tempe, AZ. Organization (NPI-2).
NPI number1174071963
StatusActive
Last updated in NPPESSep 21, 2016
Details
- NPI
- 1174071963
- Entity type
- Organization (NPI-2)
- Legal business name
- Jennifer K Bradley, Psyd LLC
- Organization subpart
- No
- Enumeration date
- Sep 21, 2016
- Last updated
- Sep 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 3451 | AZ | Yes |
Practice location
4500 S Lakeshore DrSte 345
Tempe, AZ 85282-7052
Phone 480-917-3255 · Fax 480-838-9022
Mailing address
4500 S Lakeshore DrSte 345
Tempe, AZ 85282-7052
Phone 480-917-3255 · Fax 480-838-9022
Authorized official
Jennifer K Bradley
Clinical Psychologist
4809173255
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