John Elvie Bradford in Rancho Cucamonga - Clinical
John Elvie Bradford - NPI 1083677561
John Elvie Bradford is a Clinical in Rancho Cucamonga, California. John Elvie Bradford practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Elvie Bradford is 1083677561. The last update date is 2008-02-18.
John Elvie Bradford's current location address is 8253 White Oak Ave, Rancho Cucamonga, California. You can contact this provider via phone number 9099871997. The mailing address for John Elvie Bradford is 8253 White Oak Ave, Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Elvie Bradford |
|---|---|
| Address | 8253 White Oak Ave, Rancho Cucamonga, California |
| Phone Number | 9099871997 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1083677561 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2008-02-18 |
Provider Mailing Address Detail
| Address | 8253 White Oak Ave |
|---|---|
| City | Rancho Cucamonga |
| State | California (CA) |
| Post Code | 917307671 |
| Phone Number | 9099871997 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY20587 |
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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 John Elvie Bradford by the Centers for Medicare & Medicaid Services?
The John Elvie Bradford has been assigned the NPI (National Provider Identifier) 1083677561 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 address where John Elvie Bradford is geographically located?
The John Elvie Bradford is physically situated at the following location: 8253 White Oak Ave, Rancho Cucamonga, CA, 917307671.
What is John Elvie Bradford's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Elvie Bradford is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083677561 to John Elvie Bradford?
The Centers for Medicare & Medicaid Services originally issued the 1083677561 to John Elvie Bradford on 2006-04-07.
As of what date were the John Elvie Bradford's details last updated?
The information pertaining to the John Elvie Bradford, including its address, specialty, and other details, was most recently updated on 2008-02-18.