Individual
DR. E PEABODY BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
620 BROADWAY, SONOMA, CA 95476
(415) 385-2806
Mailing address
PO BOX 404, SAN FRANCISCO, CA 95476
(415) 385-2806
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY19656
CA
Other
Enumeration date
03/11/2007
Last updated
09/02/2018
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