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Individual

DR. STEPHEN M BRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
715 ALBANY ST, ROBINSON B2903, BOSTON, MA 02118-2526
(617) 638-8689
(617) 414-2323
Mailing address
715 ALBANY ST, ROBINSON B2903, BOSTON, MA 02118-2526
(617) 638-8689
(617) 414-2323

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MA4148
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0521426
MA
Enumeration date
07/19/2006
Last updated
07/08/2007
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