Individual
BRADLEY MCCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
701 S BETHLEHEM PIKE, AMBLER, PA 19002-5818
(215) 643-7676
(215) 542-9219
Mailing address
355 ELM AVE, GLENSIDE, PA 19038-3011
(304) 412-4514
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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