Individual
BRADFORD MARSHALL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
110 HALE ST, BEVERLY, MA 01915-4634
(781) 710-8300
Mailing address
110 HALE ST, BEVERLY, MA 01915-4634
(781) 710-8300
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
54963
MS
Other
Enumeration date
03/14/2006
Last updated
07/22/2022
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