Individual
DR. BRADLEY B HAYNES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3950 CENTRAL AVENUE, MEMPHIS, TN 38111
(901) 458-6291
(901) 323-4848
Mailing address
3950 CENTRAL AVENUE, MEMPHIS, TN 38111
(901) 458-6291
(901) 323-4848
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2810
TN
103TC0700X
Clinical Psychologist
Primary
2810
TN
Other
Enumeration date
12/24/2007
Last updated
01/23/2008
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