Organization
ESTES NEUROPSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY ESTES PSY.D. (NEUROPSYCHOLOGIST/DIRECTOR)
(812) 764-0733
Entity
Organization
Contact information
Practice address
2675 FOX POINTE DR STE A, COLUMBUS, IN 47203-3391
(812) 376-0900
Mailing address
14740 N COUNTY ROAD 350 E, HOPE, IN 47246-9623
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20042177A
IN
103TC0700X
Clinical Psychologist
20042922A
IN
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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