NPI 1053517102
John Benjamin Bradley, PHD
Practice location
- Address
- 215 Barnwell Ave NW, Aiken, SC 29801-3903
- Phone
- (803) 649-0089
- Fax
- (803) 648-5930
Registered specialties
Clinical Psychologist
Primary
Registry record
- NPI
- 1053517102
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Jun 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.