Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN WILLIAM BRADLEY, PH.D.
Active Sole ProprietorDR. BRIAN WILLIAM BRADLEY, PH.D. is a Clinical Psychologist healthcare provider located in GRAFTON, Wisconsin. NPI 1740347608 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · GRAFTON, WI
Registration Details
- NPI Number
- 1740347608
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 2, 2007 (19.582521647769 yrs)
- Last Updated
- Jul 8, 2007
- License
-
868 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 FALLS RDSUITE 404GRAFTON, WI, 530242612Browse WI providers · Browse ZIP 53024
- Phone
- 2623758441
- Fax
- 2625460005
- Primary Specialty
-
Clinical Psychologist
103TC0700X
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.