Whalio Doctors

NPI 1053517102

John Benjamin Bradley, PHD

Practitioner Clinical Psychologist Aiken, SC

Practice location

Address
215 Barnwell Ave NW, Aiken, SC 29801-3903
Phone
(803) 649-0089
Fax
(803) 648-5930

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 23 (SC)

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.