Individual
DR. BRADFORD C. RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 SAN RAFAEL AVE. NE, ALBUQUERQUE, NM 87122-1116
(505) 823-1600
(505) 823-1161
Mailing address
1 SAN RAFAEL AVE. NE, ALBUQUERQUE, NM 87122-1116
(505) 823-1600
(505) 823-1161
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
#0855
NM
103TC0700X
Clinical Psychologist
0855
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24738034
—
NM
Enumeration date
08/18/2006
Last updated
08/25/2009
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