Individual
DR. LYNN E BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, HSPP
Contact information
Practice address
2620 KESSLER BOULEVARD EAST DR, SUITE 210, INDIANAPOLIS, IN 46220-2890
(317) 475-6200
(317) 475-6212
Mailing address
250 N SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-4836
(317) 962-8646
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040774
IN
Other
Enumeration date
06/16/2006
Last updated
10/24/2007
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