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Individual

DR. JOHN E BRADSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 S ELLSWORTH AVE, #802, SAN MATEO, CA 94401
(650) 343-6955
(650) 343-6981
Mailing address
100 S ELLSWORTH AVE, #802, SAN MATEO, CA 94401
(650) 343-6955
(650) 343-6981

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY79550
CA
106H00000X
Marriage & Family Therapist
MFC13763
CA

Other

Enumeration date
11/21/2006
Last updated
03/10/2009
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