Individual
DR. BRADLEY DAVID BENEDICT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0523
(214) 857-0531
Mailing address
2530 SARA JANE PKWY APT 332, GRAND PRAIRIE, TX 75052-8604
(214) 857-0523
(214) 857-0531
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042296A
IN
Other
Enumeration date
11/28/2008
Last updated
11/28/2008
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