Bradford Heath Mallory in Evansville - Psychiatry
Bradford Heath Mallory - NPI 1730175225
Bradford Heath Mallory is a Psychiatry in Evansville, Indiana. Bradford Heath Mallory practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Bradford Heath Mallory is 1730175225. The last update date is 2007-07-09.
Bradford Heath Mallory's current location address is 12940 Avalon Dr, Evansville, Indiana. You can contact this provider via phone number 8126260143. The mailing address for Bradford Heath Mallory is 12940 Avalon Dr, Evansville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradford Heath Mallory |
|---|---|
| Address | 12940 Avalon Dr, Evansville, Indiana |
| Phone Number | 8126260143 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1730175225 |
|---|---|
| Provider Enumeration Date | 2005-09-21 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 12940 Avalon Dr |
|---|---|
| City | Evansville |
| State | Indiana (IN) |
| Post Code | 477258062 |
| Phone Number | 8126260143 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 01056168A |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bradford Heath Mallory by the Centers for Medicare & Medicaid Services?
The Bradford Heath Mallory has been assigned the NPI (National Provider Identifier) 1730175225 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Bradford Heath Mallory is located?
The Bradford Heath Mallory is situated at the following address: 12940 Avalon Dr, Evansville, IN, 477258062.
What is Bradford Heath Mallory's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bradford Heath Mallory is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
On what date was the 1730175225 assigned to Bradford Heath Mallory?
The Bradford Heath Mallory was issued its 1730175225 on 2005-09-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Bradford Heath Mallory most recently updated or revised?
The details related to Bradford Heath Mallory, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.