Individual
DR. SPENCER D. BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFTA, PHD
Contact information
Practice address
8200 NASHVILLE AVE, LUBBOCK, TX 79423-1906
(801) 450-6936
Mailing address
321 LONGHORN BLVD, WOLFFORTH, TX 79382-5315
(801) 450-6936
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201891
TX
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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