Individual
BRADLEY H. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2940 E BANNER GATEWAY DR, SUITE 420, GILBERT, AZ 85234-2168
(480) 543-2688
Mailing address
1010 N COUNTRY CLUB DR, MESA, AZ 85201-3309
(480) 461-2409
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3604
AZ
Other
Enumeration date
04/18/2007
Last updated
10/06/2008
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