Individual
DR. JENNIFER ELIZABETH BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., HSPP
Contact information
Practice address
205 N COLLEGE AVE STE 514, BLOOMINGTON, IN 47404-3952
(812) 339-7071
Mailing address
205 N COLLEGE AVE STE 514, BLOOMINGTON, IN 47404-3952
(812) 339-7071
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041769A
IN
Other
Enumeration date
05/04/2007
Last updated
09/30/2010
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