Individual
MICHAEL JAMES RICHARDS-BRADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1233 SHELBURNE RD STE 360, SOUTH BURLINGTON, VT 05403-7752
(802) 383-8543
Mailing address
1233 SHELBURNE RD STE 360, SOUTH BURLINGTON, VT 05403-7752
(802) 497-1920
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
047.0098988
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026473
—
VT
Enumeration date
12/17/2015
Last updated
07/18/2016
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