Organization
JACKSON BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY L SCHWEDA LLP (PSYCHOLOGIST)
(517) 780-0809
Entity
Organization
Contact information
Practice address
209 E WASHINGTON AVE, SUITE 221, JACKSON, MI 49201-2393
(517) 780-0809
(517) 788-5922
Mailing address
209 E WASHINGTON AVE, SUITE 221, JACKSON, MI 49201-2393
(517) 780-0809
(517) 788-5922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301010119
MI
103TC0700X
Clinical Psychologist
6302006268
MI
261QM1300X
Multi-Specialty Clinic/Center
4301044183
MI
261QM2500X
Medical Specialty Clinic/Center
Primary
4301044183
MI
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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