Individual
BRADLEY JAMES WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1686
Mailing address
4501 ASHMONT CT, RALEIGH, NC 27616-7811
(317) 626-5504
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
613
NC
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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