Robert Wayne Bradley, PSYCHOLOGIST

NPI #1619969003 in Garland, Texas

Provider Information

NPI Number: 1619969003
Entity Type: Individual
Name: Robert Wayne Bradley, PSYCHOLOGIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PSYCHOLOGIST
Enumeration Date: Aug 22, 2005
Last Updated: Jul 12, 2007

Practice Location

Address: 2692 W WALNUT ST
Address 2: SUITE 105
City: Garland
State: Texas
ZIP Code: 75042-6474
Phone: (972) 494-2676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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