Earl E. Bracy, PSYD

NPI #1720269186 in Glendale, Wisconsin

Provider Information

NPI Number: 1720269186
Entity Type: Individual
Name: Earl E. Bracy, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Nov 14, 2007
Last Updated: Nov 14, 2007

Practice Location

Address: 5225 N IRONWOOD RD
Address 2: SUITE 214
City: Glendale
State: Wisconsin
ZIP Code: 53217-4909
Phone: (414) 963-1115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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