Individual
DR. BRADLY ANDREW MACNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
12403 W MORNING VISTA LN, PEORIA, AZ 85383-2456
(703) 587-3084
Mailing address
12403 W MORNING VISTA LN, PEORIA, AZ 85383-2456
(703) 587-3084
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4359
NC
103TC2200X
Clinical Child & Adolescent Psychologist
4359
NC
Other
Enumeration date
10/15/2012
Last updated
07/26/2023
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