Individual
DR. TRAICE WEBB-BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11000 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503
(877) 801-3507
Mailing address
800 BOYLSTON ST FL 16, BOSTON, MA 02199-1900
(314) 312-2110
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071008110
IL
103TC0700X
Clinical Psychologist
Primary
1174270052
IL
Other
Enumeration date
03/09/2022
Last updated
04/25/2022
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