Individual
DR. BRADLEY OGDEN HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3250 WILSHIRE BLVD, SUITES 320, 500 & 600, LOS ANGELES, CA 90010-1577
(323) 361-3814
(323) 361-8350
Mailing address
3250 WILSHIRE BLVD, SUITE 320, 500 & 600, LOS ANGELES, CA 90010-1577
(323) 361-3814
(323) 361-8350
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY13124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY131240
—
CA
Enumeration date
10/03/2006
Last updated
01/17/2017
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