Individual
DR. BRADLEY MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
520 KELLY AVE #4, HALF MOON BAY, CA 94019
(650) 704-1343
Mailing address
520 KELLY AVE #4, HALF MOON BAY, CA 94019
(650) 704-1343
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 20180
CA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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