Individual
ANNE M BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3333 BURNET AVENUE, ML 3015, CINCINNATI, OH 45229-3026
(513) 636-4336
(513) 636-3497
Mailing address
3333 BURNET AVENUE, ML 3015, CINCINNATI, OH 45229-3026
(513) 636-4336
(513) 636-3677
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
853
SC
103T00000X
Psychologist
Primary
6948
OH
103T00000X
Psychologist
853
SC
103TC0700X
Clinical Psychologist
6946
OH
103TC0700X
Clinical Psychologist
853
SC
103TC2200X
Clinical Child & Adolescent Psychologist
853
SC
103TH0100X
Health Service Psychologist
853
SC
103TR0400X
Rehabilitation Psychologist
853
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0385
—
SC
Enumeration date
01/18/2007
Last updated
10/23/2017
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