Individual
DR. BRADLEY NORMAN LANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LICDC
Contact information
Practice address
1492 E BROAD ST, COLUMBUS, OH 43205-1546
(614) 257-3760
(614) 257-3148
Mailing address
1492 E BROAD ST, COLUMBUS, OH 43205-1546
(614) 257-3760
(614) 257-3148
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
5419
OH
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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