Individual
BRADY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., ED.S
Contact information
Practice address
325 S OAK ST, ST 301, WINCHESTER, IN 47394
(765) 584-7602
Mailing address
325 S OAK ST, ST 301, WINCHESTER, IN 47394
(765) 584-7602
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10322353
IN
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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