Individual
MICHAEL JAMES RICHARDS-BRADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
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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