G. Kenneth Bradford in Lafayette - Clinical

G. Kenneth Bradford - NPI 1942470133

G. Kenneth Bradford is a Clinical in Lafayette, California. G. Kenneth Bradford practices all healthcare services and medical treatments related to Clinical. The NPI Number for G. Kenneth Bradford is 1942470133. The last update date is 2008-03-27.

G. Kenneth Bradford's current location address is 936 Dewing Ave Ste E, Lafayette, California. You can contact this provider via phone number 9252839377 and fax number 5105307500. The mailing address for G. Kenneth Bradford is 936 Dewing Ave Ste E, Lafayette, California. To know further, please read the information below!

Provider Profile Detail

Provider Name G. Kenneth Bradford
Address 936 Dewing Ave Ste E, Lafayette, California
Phone Number 9252839377
Fax Number 5105307500
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1942470133
Provider Enumeration Date 2008-03-04
Last Updated Date 2008-03-27

Provider Mailing Address Detail

Address 936 Dewing Ave Ste E
City Lafayette
State California (CA)
Post Code 945494246
Phone Number 9252839377
Fax Number 5105307500

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY12277
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about G. Kenneth Bradford

What is the G. Kenneth Bradford's unique identification number?

The G. Kenneth Bradford has been assigned the NPI (National Provider Identifier) Number 1942470133 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of G. Kenneth Bradford?

The G. Kenneth Bradford is situated at 936 Dewing Ave Ste E, in the city of Lafayette, state of CA, with the zip code 945494246.

What is G. Kenneth Bradford's specialized field of practice, and what is the corresponding taxonomy classification code?

The G. Kenneth Bradford's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1942470133 to G. Kenneth Bradford?

The Centers for Medicare & Medicaid Services assigned the 1942470133 to G. Kenneth Bradford on 2008-03-04.

When was the information regarding G. Kenneth Bradford, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to G. Kenneth Bradford, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-27.

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