Individual
BRADLEY T CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3203 GREEN LAKE DRIVE, FORT COLLINS, CO 80524-1261
(310) 383-8088
Mailing address
3203 GREEN LAKE DRIVE, FORT COLLINS, CO 80524-1261
(310) 383-8088
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0003880
CO
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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