Individual
DR. BRADLEY THOMAS MAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
560 N ARM DR, MOUND, MN 55364-8207
(612) 790-7912
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6314
MN
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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