Individual
DR. JESSICA RAE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1115 20TH ST STE 205, HUNTINGTON, WV 25703-2071
(304) 691-1500
Mailing address
1115 20TH ST STE 205, HUNTINGTON, WV 25703-2071
(304) 691-1500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1283
WV
Other
Enumeration date
04/13/2022
Last updated
06/06/2022
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