Individual
DR. BRADY LEE HUDSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
400 S PINETREE BLVD, BLDG 414-A - FORENSIC SERVICES, THOMASVILLE, GA 31792-7128
(229) 227-2930
Mailing address
2002 HEATHERBROOOK DR, TALLAHASSEE, FL 32312
(850) 892-1263
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY003115
GA
103TC0700X
Clinical Psychologist
Primary
PY7427
FL
103TF0200X
Forensic Psychologist
PSY003115
GA
103TF0200X
Forensic Psychologist
PY7427
FL
103TH0004X
Health Psychologist
PSY003115
GA
103TH0004X
Health Psychologist
PY7427
FL
103TH0100X
Health Service Psychologist
PSY003115
GA
103TH0100X
Health Service Psychologist
PY7427
FL
Other
Enumeration date
04/17/2007
Last updated
08/27/2007
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