Individual
PATRICIA J BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
200 HIGHWAY 2 SW, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Mailing address
210 HWY 2 W, SUITE 10, DEVILS LAKE, ND 58301
(701) 662-1046
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
ND438
ND
Other
Enumeration date
10/13/2010
Last updated
11/27/2018
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