Individual
BRADFORD K.W. CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
13620 NE 20TH ST STE I, BELLEVUE, WA 98005-4901
(425) 533-8173
Mailing address
6139 147TH PL SE, BELLEVUE, WA 98006-4601
(425) 533-8173
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
PY00002048
WA
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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