Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK LAVELLE BRADFORD
Active Sole ProprietorDR. MARK LAVELLE BRADFORD is a Psychologist healthcare provider located in SPRINGFIELD, Missouri. NPI 1396867271 is currently active in the NPPES registry. Verify at CMS.
Psychologist · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1396867271
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2007 (19.393372529972 yrs)
- Last Updated
- Jul 9, 2007
- License
-
PYR0472 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
309 N JEFFERSON AVESTE 245SPRINGFIELD, MO, 658061108Browse MO providers · Browse ZIP 65806
- Phone
- 4178339999
- Fax
- 4178332727
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in SPRINGFIELD, MO
| Name | Credential | NPI |
|---|---|---|
| ALLICIA D BAUM | PSYD, LP | 1376549311 |
| GRETCHEN BRANDHORST | PSYD | 1295731172 |
| ANNIE E POWERS | PSYD | 1174529143 |
| MARK W GLOVER | PSYCHOLOGIST | 1972590537 |
| AMY ELIZABETH KESSINGER | PSY.D. | 1578533758 |
| SHAWN EUGENE FREEMAN | PSY.D. | 1497725147 |
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.