Individual
DR. CARL E BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
666 PLAINSBORO RD, PLAINSBORO, NJ 08536-3030
(844) 234-8387
(856) 429-4755
Mailing address
P.O. BOX 564, BRYN MAWR, PA 19010-0564
(484) 222-6467
(856) 429-4755
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
35SI00357900
NJ
103G00000X
Clinical Neuropsychologist
PS005598L
PA
103T00000X
Psychologist
35SI00357900
NJ
103T00000X
Psychologist
Primary
PS005598L
PA
Other
Enumeration date
03/13/2007
Last updated
11/09/2020
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