Bradley S Mazick, PHD,HSPP

NPI #1518933779 in South Bend, Indiana

Provider Information

NPI Number: 1518933779
Entity Type: Individual
Name: Bradley S Mazick, PHD,HSPP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD,HSPP
Enumeration Date: Feb 27, 2006
Last Updated: Jul 22, 2014

Practice Location

Address: 1920 RIDGEDALE RD
City: South Bend
State: Indiana
ZIP Code: 46614-2243
Phone: (574) 231-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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