Individual
DR. BRADFORD JOHN EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
314 W CATALPA DR, SUITE E, MISHAWAKA, IN 46545-3194
(574) 254-1700
Mailing address
15744 SUNRISE TRL, GRANGER, IN 46530-9034
(574) 277-2887
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20041020A
IN
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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