Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN WESLEY ADDIS, PHD
Active Sole ProprietorPsychologist · BRADFORD, PA
Registration Details
- NPI Number
- 1306028105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2007 (18.378922398929 yrs)
- Last Updated
- Dec 4, 2007
- License
-
PS002352L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23 KENNEDY STREETSUITE 202BRADFORD, PA, 167012005Browse PA providers · Browse ZIP 16701
- Phone
- 8143622136
- Fax
- 8143622136
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in BRADFORD, PA
| Name | Credential | NPI |
|---|---|---|
| DAVID DEAN HARTEN | — | 1194829689 |
| JACKSON L STEWART | PSYCHOLOGIST | 1003328378 |
| MARK FUGATE | — | 1245748334 |
| MARY ANNE POLUCCI-SHERMAN | PSYCHOLOGIST | 1548914021 |
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.