NPI 1033243837

John Ross Bradley, PHD

Practitioner Clinical Psychologist Lame Deer, MT

Practice location

Address: 100 Cheyenne Ave., Lame Deer, MT 59043-0070
Phone: (406) 477-4514
Fax: (406) 477-4513
Mailing address: PO Box 1894, Colstrip, MT 59323-1894

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 168 (MT)

Other Psychologist providers in Montana →

Registry record

NPI: 1033243837
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Mar 2007
Record last updated: 8 Jul 2007

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.