Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TYLER CHASE BRADSTREET, PHD
Active Sole ProprietorDR. TYLER CHASE BRADSTREET, PHD is a Psychologist healthcare provider located in RANSOM CANYON, Texas. NPI 1851008148 is currently active in the NPPES registry. Verify at CMS.
Psychologist · RANSOM CANYON, TX
Registration Details
- NPI Number
- 1851008148
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2022 (3.8061887396133 yrs)
- Last Updated
- Nov 4, 2022
- License
-
38533 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
69 S LAKESHORE DRRANSOM CANYON, TX, 793662407Browse TX providers · Browse ZIP 79366
- Phone
- 9036319319
- Primary Specialty
-
Psychologist
103T00000X
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.