Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
G. KENNETH BRADFORD, III, PHD
Active OrganizationG. KENNETH BRADFORD, III, PHD is a Psychologist organization located in LAFAYETTE, California. NPI 1508896416 is currently active in the NPPES registry. Verify at CMS.
Psychologist · LAFAYETTE, CA
Registration Details
- NPI Number
- 1508896416
- Provider Type
- Organization
- NPI Issued
- Jul 4, 2006 (20.089743696004 yrs)
- Last Updated
- Mar 4, 2008
- Licenses
-
PSY12277 (CA)PSY12277 (CA)
Practice Information
- Address
-
936 DEWING AVE STE ELAFAYETTE, CA, 945494246Browse CA providers · Browse ZIP 94549
- Phone
- 9252839377
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.