Individual
MR. HARRY A. BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
1275 N BERRY RD, SAINT LOUIS, MO 63122-1920
(314) 644-1515
(314) 918-1384
Mailing address
1275 N BERRY RD, SAINT LOUIS, MO 63122-1920
(314) 644-1515
(314) 918-1384
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00821
MO
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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