Bradley Joline Antonides, M.S.

NPI #1235561093 in Fort Polk, Louisiana

Provider Information

NPI Number
1235561093
Entity Type
Individual
Name
Bradley Joline Antonides, M.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
M.S.
Enumeration Date
Aug 4, 2013
Last Updated
Feb 21, 2017

Practice Location

Address
1585 3RD ST
ZIP Code
71459-5102
Phone
(337) 531-6140

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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