Heather Lee Bradley in Tallahassee - Clinical Neuropsychologist

Heather Lee Bradley - NPI 1093822876

Heather Lee Bradley is a Clinical Neuropsychologist in Tallahassee, Florida. Heather Lee Bradley practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Heather Lee Bradley is 1093822876. The last update date is 2013-12-19.

Heather Lee Bradley's current location address is 1408 N Piedmont Way, Tallahassee, Florida. You can contact this provider via phone number 8506926326 and fax number 8506926976. The mailing address for Heather Lee Bradley is 1408 N Piedmont Way, Tallahassee, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Heather Lee Bradley
Address 1408 N Piedmont Way, Tallahassee, Florida
Phone Number 8506926326
Fax Number 8506926976
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1093822876
Provider Enumeration Date 2006-08-25
Last Updated Date 2013-12-19

Provider Mailing Address Detail

Address 1408 N Piedmont Way
City Tallahassee
State Florida (FL)
Post Code 323087974
Phone Number 8506926326
Fax Number 8506926976

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No PY6826
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
73127 FL BLUE CROSS PROVIDER NUMBE
591917016 FL COMMERCIAL INSURANCE

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FAQs about Heather Lee Bradley

What is the unique 10-digit identification code issued to Heather Lee Bradley by the Centers for Medicare & Medicaid Services?

The Heather Lee Bradley has been assigned the NPI (National Provider Identifier) 1093822876 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Heather Lee Bradley is physically located?

The Heather Lee Bradley is physically situated at the following address: 1408 N Piedmont Way, Tallahassee, FL, 323087974.

What is Heather Lee Bradley's specialized field of practice, and what is the corresponding taxonomy classification code?

The Heather Lee Bradley's area of specialization is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this field of practice is 103G00000X.

When was the Heather Lee Bradley's 1093822876 issued?

The Heather Lee Bradley's 1093822876 was issued on 2006-08-25.

As of what date was the information pertaining to Heather Lee Bradley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Heather Lee Bradley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-12-19.

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