Individual
DR. ELIZABETH G BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022131
NY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
022131
NY
103TB0200X
Cognitive & Behavioral Psychologist
022131
NY
103TC0700X
Clinical Psychologist
022131
NY
103TC1900X
Counseling Psychologist
022131
NY
103TC2200X
Clinical Child & Adolescent Psychologist
022131
NY
103TF0000X
Family Psychologist
022131
NY
103TH0004X
Health Psychologist
022131
NY
103TH0100X
Health Service Psychologist
022131
NY
103TS0200X
School Psychologist
022131
NY
Other
Enumeration date
07/17/2017
Last updated
03/28/2019
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