Organization
DR BRAD S KAUDER LLC
Active
Organization
DR BRAD S KAUDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY SCOTT KAUDER PSY.D. (OWNER)
(541) 488-8988
Entity
Organization
Contact information
Practice address
739 N MAIN ST, ASHLAND, OR 97520-1752
(541) 488-8988
(541) 488-7977
Mailing address
PO BOX 873, ASHLAND, OR 97520-0030
(541) 488-8988
(541) 488-7977
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1537
OR
103TC0700X
Clinical Psychologist
1537
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182024
—
OR
Enumeration date
01/17/2007
Last updated
07/08/2013
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