Individual
MRS. PEGGY E. BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
708 W 10TH ST, AUSTIN, TX 78701-2025
(512) 477-6338
(512) 451-4955
Mailing address
3501 MOUNT BARKER DR, AUSTIN, TX 78731-5101
(512) 477-6338
(512) 451-4955
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21808
TX
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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