Organization
BRADY & BRADY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS O BRADY PH.D. (OWNER/PSYCHOLOGIST)
(580) 355-7474
Entity
Organization
Contact information
Practice address
6004 NW 157TH ST, EDMOND, OK 73013-8983
(580) 355-7474
(580) 355-6765
Mailing address
PO BOX 6446, LAWTON, OK 73506-0446
(580) 355-7474
(580) 355-6765
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
198
OK
103T00000X
Psychologist
21363
TX
103T00000X
Psychologist
642
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
443560979001
BCBS SHARON BRADY
OK
01
—
731279230001
BCBS DOUGLAS BRADY
OK
Enumeration date
03/16/2007
Last updated
04/26/2022
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