Individual
DR. G. KENNETH BRADFORD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
936 DEWING AVE STE E, LAFAYETTE, CA 94549-4246
(925) 283-9377
(510) 530-7500
Mailing address
936 DEWING AVE STE E, LAFAYETTE, CA 94549-4246
(925) 283-9377
(510) 530-7500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY12277
CA
Other
Enumeration date
03/04/2008
Last updated
03/27/2008
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