Organization
BRADFORD C. RICHARDS
Active
Other names
Cognitive Behavioral Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD C. RICHARDS PH.D. (DOCTOR/OWNER)
(505) 823-1600
Entity
Organization
Contact information
Practice address
1 SAN RAFAEL AVENUE NE, ALBUQUERQUE, NM 87122
(505) 823-1600
(505) 823-1161
Mailing address
1 SAN RAFAEL AVENUE NE, ALBUQUERQUE, NM 87122
(505) 823-1600
(505) 823-1161
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
#0855
NM
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
PSYCHOLOGIST #0855
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24738034
—
NM
05
—
2473804
—
NM
Enumeration date
09/06/2006
Last updated
10/20/2009
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