Individual
DR. BRADLEY JAMES MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, ABPP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810004895
VA
103TC0700X
Clinical Psychologist
Primary
144849
AK
103TC0700X
Clinical Psychologist
PSY26922
CA
103TC0700X
Clinical Psychologist
PY60340131
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1711270
—
AK
Enumeration date
08/20/2009
Last updated
10/11/2021
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