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Individual

BRADLEY SHAMIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
7010 E ACOMA DR STE 101, SCOTTSDALE, AZ 85254-3550
(215) 752-2287
Mailing address
7028 E THUNDERBIRD RD, SCOTTSDALE, AZ 85254-4049
(215) 752-2287

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY-005747
AZ
103TC0700X
Clinical Psychologist
Primary
PS005689L
PA

Other

Enumeration date
07/26/2006
Last updated
11/25/2024
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