Organization
BRADFORD J EATON PHD
Active
Other names
BRADFORD J EATON PHD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD J EATON PHD (PRESIDENT/OWNER)
(274) 335-8800
Entity
Organization
Contact information
Practice address
15744 SUNRISE TRL, GRANGER, IN 46530-9034
(574) 335-8800
(574) 335-8801
Mailing address
15744 SUNRISE TRL, GRANGER, IN 46530-9034
(574) 335-8800
(574) 335-8801
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20041020A
IN
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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