Jennifer Elizabeth Bradley in Bloomington - Psychologist
Jennifer Elizabeth Bradley - NPI 1326250184
Jennifer Elizabeth Bradley is a Psychologist in Bloomington, Indiana. Jennifer Elizabeth Bradley practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jennifer Elizabeth Bradley is 1326250184. The last update date is 2010-09-30.
Jennifer Elizabeth Bradley's current location address is 205 N College Ave Ste 514, Bloomington, Indiana. You can contact this provider via phone number 8123397071. The mailing address for Jennifer Elizabeth Bradley is 205 N College Ave Ste 514, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Elizabeth Bradley |
|---|---|
| Address | 205 N College Ave Ste 514, Bloomington, Indiana |
| Phone Number | 8123397071 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D., HS |
NPI Number Detail
| NPI Number | 1326250184 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2010-09-30 |
Provider Mailing Address Detail
| Address | 205 N College Ave Ste 514 |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474043952 |
| Phone Number | 8123397071 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 20041769A |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jennifer Elizabeth Bradley by the Centers for Medicare & Medicaid Services?
The Jennifer Elizabeth Bradley has been assigned the NPI (National Provider Identifier) 1326250184 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jennifer Elizabeth Bradley?
The Jennifer Elizabeth Bradley is situated at 205 N College Ave Ste 514, in the city of Bloomington, state of IN, with the zip code 474043952.
What is the area of specialization for Jennifer Elizabeth Bradley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Elizabeth Bradley is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326250184 to Jennifer Elizabeth Bradley?
The Centers for Medicare & Medicaid Services originally issued the 1326250184 to Jennifer Elizabeth Bradley on 2007-05-04.
As of what date were the details related to Jennifer Elizabeth Bradley most recently updated or revised?
The information pertaining to Jennifer Elizabeth Bradley, including its address, specialty, and other relevant details, was last updated or revised on 2010-09-30.
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