Individual
BRADLEY WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, NCSP
Contact information
Practice address
13 LOCUST ST, GLENS FALLS, NY 12801-4544
(518) 232-0885
Mailing address
19 CEDARWOOD DR, QUEENSBURY, NY 12804-1313
(518) 232-0885
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
02/04/2018
Last updated
02/04/2018
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