Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY DEAN GAULT, MA
Active Sole ProprietorBRADLEY DEAN GAULT, MA is a Child, Clinical Psychologist healthcare provider located in MINERAL WELLS, West Virginia. NPI 1316396062 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · MINERAL WELLS, WV
Registration Details
- NPI Number
- 1316396062
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2016 (10.227035336299 yrs)
- Last Updated
- Jun 3, 2016
- License
-
859 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
98 LIBERTY LNMINERAL WELLS, WV, 261501605Browse WV providers · Browse ZIP 26150
- Phone
- 3044822959
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
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.