Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STACY DENISE BRADLEY, PSY.D.
Deactivated Sole ProprietorDR. STACY DENISE BRADLEY, PSY.D. is a Psychologist healthcare provider located in CHARLOTTE, North Carolina. NPI 1437274776 is deactivated in the NPPES registry. Verify at CMS.
Psychologist · CHARLOTTE, NC
This NPI has been deactivated.
The record was deactivated on May 3, 2012.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1437274776
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 19, 2007 (5.1232876712329 yrs)
- Last Updated
- Sep 1, 2023
- Deactivated
- May 3, 2012
- Licenses
-
2845 (NC)2845 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
620 TOM HUNTER RDCHARLOTTE, NC, 282135511Browse NC providers · Browse ZIP 28213
- Phone
- 2766016197
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| BRYAN EDWARD CONNELL | PHD | 1891787255 |
| MRS. SHAVONDA LATIEA BEAN | MA, LPA | 1770573990 |
| DR. WILLIAM MICHAEL TYSON | PHD | 1790763308 |
| DR. DAVID ALLAN RUSS | PH.D | 1285608794 |
| DR. SALLY M DUFFY | PHD | 1396704458 |
| DR. MADALYN E. TYSON | PH.D. | 1639138639 |
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.