Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY MARK WOLGAST
Active Sole ProprietorBRADLEY MARK WOLGAST is a Counseling Psychologist healthcare provider located in MEDIA, Pennsylvania. NPI 1457012767 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · MEDIA, PA
Registration Details
- NPI Number
- 1457012767
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2022 (4.6345749392352 yrs)
- Last Updated
- Jan 8, 2022
- Licenses
-
B10000802 (DE)PS015452 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
221 N OLIVE STMEDIA, PA, 190633250Browse PA providers · Browse ZIP 19063
- Phone
- 4844420849
- Primary Specialty
-
Counseling Psychologist
103TC1900X
- Additional Specialty
- Counseling Psychologist
Other Counseling Psychologist Providers in MEDIA, PA
| Name | Credential | NPI |
|---|---|---|
| ANALIESE MARIA EISENHAUER | — | 1730997479 |
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.