Michael Bradley in Wilmington - Psychologist
Michael Bradley - NPI 1750356515
Michael Bradley is a Psychologist in Wilmington, North Carolina. Michael Bradley practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Michael Bradley is 1750356515. The last update date is 2012-09-11.
Michael Bradley's current location address is 2450 Delaney Rd, Wilmington, North Carolina. You can contact this provider via phone number 9107629083 and fax number 9107636339. The mailing address for Michael Bradley is 2450 Delaney Rd, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Bradley |
|---|---|
| Address | 2450 Delaney Rd, Wilmington, North Carolina |
| Phone Number | 9107629083 |
| Fax Number | 9107636339 |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1750356515 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2012-09-11 |
Provider Mailing Address Detail
| Address | 2450 Delaney Rd |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284036062 |
| Phone Number | 9107629083 |
| Fax Number | 9107636339 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 977 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 71992 | NC | VALU OPTIONS | |
| 6000593 | NC | -- | |
| 3457 | NC | BC/BS | |
| 126105 | NC | COMPSYCH |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael Bradley by the Centers for Medicare & Medicaid Services?
The Michael Bradley has been issued the NPI (National Provider Identifier) 1750356515 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Michael Bradley located?
The Michael Bradley is located at 2450 Delaney Rd, Wilmington, NC 284036062.
What is Michael Bradley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Bradley's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750356515 to Michael Bradley?
The Centers for Medicare & Medicaid Services originally issued the 1750356515 to Michael Bradley on 2006-02-22.
As of what date was the information pertaining to Michael Bradley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Bradley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-11.
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