Individual
DR. BRADLEY HIEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., L.P.C.
Contact information
Practice address
5975 PARKWAY NORTH BLVD, SUITE 300 D, CUMMING, GA 30040-1226
(404) 388-3909
(678) 712-1945
Mailing address
5975 PARKWAY NORTH BLVD, SUITE 300 D, CUMMING, GA 30040-1226
(404) 388-3909
(678) 712-1945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC005028
GA
103T00000X
Psychologist
Primary
PSY003603
GA
103TC1900X
Counseling Psychologist
PSY003603
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
883083592A
—
GA
Enumeration date
11/21/2006
Last updated
09/18/2012
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