Individual
MR. BRADLEY WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Contact information
Practice address
27401 LOS ALTOS STE 120, MISSION VIEJO, CA 92691-8580
(562) 431-8822
Mailing address
27401 LOS ALTOS STE 120, MISSION VIEJO, CA 92691-8580
(562) 431-8822
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34607
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2018
Last updated
10/08/2025
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