Individual
DR. TERENCE LEE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3926 VILLAGE CIRCLE DR, TRAVERSE CITY, MI 49686-6305
(231) 938-5900
Mailing address
12501 SW TORCH LAKE DR, RAPID CITY, MI 49676-9333
(231) 883-3066
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002718
MI
103TC0700X
Clinical Psychologist
CP11369
CA
Other
Enumeration date
01/09/2007
Last updated
02/15/2017
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