Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY JOLINE ANTONIDES, M.S.
ActiveBRADLEY JOLINE ANTONIDES, M.S. is a Clinical Psychologist healthcare provider located in FORT POLK, Louisiana. NPI 1235561093 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · FORT POLK, LA
Registration Details
- NPI Number
- 1235561093
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2013 (12.984637767456 yrs)
- Last Updated
- Feb 21, 2017
- License
-
PY60633804 (WA)
Practice Information
- Address
-
1585 3RD STFORT POLK, LA, 714595102Browse LA providers · Browse ZIP 71459
- Phone
- 3375316140
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in FORT POLK, LA
| Name | Credential | NPI |
|---|---|---|
| MICAHEL B GALLAGHER | PSY.D. | 1528258936 |
| DR. PATRICIA CORNELIOUS | PHD | 1811317647 |
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.