Individual
BRADLEY D. WOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
928 4TH ST, SUITE 6, BROOKINGS, SD 57006-2171
(605) 692-6011
(605) 692-6011
Mailing address
PO BOX 8563, BROOKINGS, SD 57006-8563
(605) 692-6011
(605) 692-6011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
357
SD
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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