Bradley G Small is a Clinical in Inverness, Illinois. Bradley G Small practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bradley G Small is 1669586574. The last update date is 2007-07-08.
Bradley G Small's current location address is 1644 W Colonial Pkwy, Inverness, Illinois. You can contact this provider via phone number 8477764500 and fax number 8477764724. The mailing address for Bradley G Small is 1644 W Colonial Pkwy, Inverness, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley G Small |
|---|---|
| Address | 1644 W Colonial Pkwy, Inverness, Illinois |
| Phone Number | 8477764500 |
| Fax Number | 8477764724 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1669586574 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1644 W Colonial Pkwy |
|---|---|
| City | Inverness |
| State | Illinois (IL) |
| Post Code | 600671207 |
| Phone Number | 8477764500 |
| Fax Number | 8477764724 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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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What is the unique 10-digit identifier code issued to Bradley G Small by the Centers for Medicare & Medicaid Services?
The Bradley G Small has been assigned the NPI (National Provider Identifier) 1669586574 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bradley G Small's facilities are situated?
The facilities of Bradley G Small are physically located at the following address: 1644 W Colonial Pkwy, Inverness, IL, 600671207.
What is Bradley G Small's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bradley G Small's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669586574 to Bradley G Small?
The Bradley G Small received its 1669586574 assignment from the Centers for Medicare & Medicaid Services on 2006-08-18.
As of what date was the information regarding Bradley G Small, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bradley G Small, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN