NPI 1467069450

Carol Bradley, RDNLDBCBALBA

Practitioner Registered Dietitian Lufkin, TX

Practice location

Address: 1505 Helen St, Lufkin, TX 75901-6151
Phone: (936) 639-4304

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 03175 (TX)

Other Dietitian, Registered providers in Texas →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 2050 (TX)

Other Behavior Analyst providers in Texas →

Registry record

NPI: 1467069450
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2020
Record last updated: 24 Sep 2020

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.