Organization
JAMES D. D. BRADLEY, PH.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES D BRADLEY PHD (OWNER)
(305) 932-5500
Entity
Organization
Contact information
Practice address
21110 BISCAYNE BLVD, SUITE 304, AVENTURA, FL 33180-1227
(305) 932-5500
(305) 935-0466
Mailing address
21110 BISCAYNE BLVD, SUITE 304, AVENTURA, FL 33180-1227
(305) 932-5500
(305) 935-0466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/27/2014
Last updated
11/12/2014
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