Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADFORD WILSON, TLLP
ActiveBRADFORD WILSON, TLLP is a Psychologist healthcare provider located in STEVENSVILLE, Michigan. NPI 1396081451 is currently active in the NPPES registry. Verify at CMS.
Psychologist · STEVENSVILLE, MI
Registration Details
- NPI Number
- 1396081451
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2012 (13.624992396642 yrs)
- Last Updated
- Feb 10, 2025
- Licenses
-
6301015339 (MI)6361007564 (MI)6361007564 (MI)
Practice Information
- Address
-
5675 FAIRVIEW STSTEVENSVILLE, MI, 491271033Browse MI providers · Browse ZIP 49127
- Phone
- 2694297727
- Fax
- 2694295754
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Counselor
- Additional Specialty
- Psychologist
Other Psychologist Providers in STEVENSVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| MARY FRANK | PSYCHOLOGIST | 1679500243 |
| RICHARD A WATSON | — | 1740387935 |
| KRISTINE A PETLICK | — | 1144499864 |
| DENISE G DURAK | PSYD | 1134390677 |
| MATTHEW FRANCIS BENOIT | TLLP | 1245899863 |
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.