Individual
DR. KIRSTEN ELIZABETH BRADBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3906 N LAMAR BLVD, SUITE 204-D, AUSTIN, TX 78756-4025
(512) 745-6176
Mailing address
3906 N LAMAR BLVD, SUITE 204-D, AUSTIN, TX 78756-4025
(512) 745-6176
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
33639
TX
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
33639
TX
103TH0004X
Health Psychologist
33639
TX
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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