Individual
DR. JOHN ROSS BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
100 CHEYENNE AVE., LAME DEER, MT 59043-0070
(406) 477-4514
(406) 477-4513
Mailing address
PO BOX 1894, COLSTRIP, MT 59323-1894
(406) 477-4514
(406) 477-4513
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
168
MT
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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