Individual
DR. BRADLEY G SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1644 W COLONIAL PKWY, INVERNESS, IL 60067-1207
(847) 776-4500
(847) 776-4724
Mailing address
1202 HOWARD CIR, WHEATON, IL 60187-3811
(630) 510-1929
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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