Terence Lee Bradley in Traverse City - Clinical
Terence Lee Bradley - NPI 1033268149
Terence Lee Bradley is a Clinical in Traverse City, Michigan. Terence Lee Bradley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Terence Lee Bradley is 1033268149. The last update date is 2017-02-15.
Terence Lee Bradley's current location address is 3926 Village Circle Dr, Traverse City, Michigan. You can contact this provider via phone number 2319385900. The mailing address for Terence Lee Bradley is 3926 Village Circle Dr, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terence Lee Bradley |
|---|---|
| Address | 3926 Village Circle Dr, Traverse City, Michigan |
| Phone Number | 2319385900 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1033268149 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2017-02-15 |
Provider Mailing Address Detail
| Address | 3926 Village Circle Dr |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496866305 |
| Phone Number | 2319385900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2718 |
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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 identification code issued to Terence Lee Bradley by the Centers for Medicare & Medicaid Services?
The Terence Lee Bradley has been assigned the NPI (National Provider Identifier) 1033268149 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Terence Lee Bradley is physically located?
The Terence Lee Bradley is situated at the following address: 3926 Village Circle Dr, Traverse City, MI 496866305.
What is Terence Lee Bradley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Terence Lee Bradley is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1033268149 to Terence Lee Bradley?
The Terence Lee Bradley received its 1033268149 assignment from the Centers for Medicare & Medicaid Services on 2007-01-09.
When was the information related to Terence Lee Bradley most recently updated or refreshed?
The details pertaining to the Terence Lee Bradley, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-02-15.
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