NPI 1225491244

Michael J. Richards-Bradt, LLC

Organisation Clinical Psychologist South Burlington, VT

Practice location

Address: 1233 Shelburne Rd STE 360, South Burlington, VT 05403-7752
Phone: (802) 497-1920
Fax: (802) 860-1625

Authorised official

Name: Michael J. Richards-Bradt
Title: Licensed Psychologist-Master
Phone: (802) 497-1920

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 047.0098988 (VT)

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Registry record

NPI: 1225491244
Entity type: Organization
NPI issued: 29 Mar 2016
Record last updated: 29 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.