Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY SHAW
Active Sole ProprietorBRADLEY SHAW is a Professional Counselor healthcare provider located in BRYANT, Arkansas. NPI 1104229871 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BRYANT, AR
Registration Details
- NPI Number
- 1104229871
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 8, 2014 (11.824363986275 yrs)
- Last Updated
- Oct 8, 2014
- License
-
P0002005 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3708 ROBINWOOD CIRBRYANT, AR, 720228374Browse AR providers · Browse ZIP 72022
- Phone
- 5019935465
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in BRYANT, AR
| Name | Credential | NPI |
|---|---|---|
| JULIE JONES | LPC | 1801867213 |
| PATRICIA ANN GANN | LPC | 1053358416 |
| RICKEY ETHERIDGE | LPC | 1861594483 |
| MR. KENNETH JOE HEARD | LPC | 1982776936 |
| MS. CYNTHIA J. WEBB | LPC-S | 1699843409 |
| EMILY ANNE STENTA | LPC | 1962640656 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.