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Individual

DR. BRADLEY C NORFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
14 SOUTH BRYN MAWR AVENUE, SUITE 205, BRYN MAWR, PA 19010
(610) 525-4828
Mailing address
PO BOX 893, SOUTHEASTERN, PA 19399-0893
(610) 525-4828

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006817
PA
103TC0700X
Clinical Psychologist
PS006817
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS006817
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
611267
HIGHMARK
Enumeration date
02/16/2007
Last updated
09/12/2016
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