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Organization

G. KENNETH BRADFORD, III, PHD

Active
Other names
Diablo Valley Psychotherapy Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE KENNETH BRADFORD III PHD (PSYCHOLOGIST/OWNER)
(925) 283-9377
Entity
Organization

Contact information

Practice address
936 DEWING AVE STE E, LAFAYETTE, CA 94549-4246
(925) 283-9377
Mailing address
936 DEWING AVE STE E, LAFAYETTE, CA 94549-4246
(925) 283-9377

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12277
CA
103TA0700X
Adult Development & Aging Psychologist
PSY12277
CA

Other

Enumeration date
07/04/2006
Last updated
03/04/2008
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