Whalio Doctors

NPI 1891020467

Lonnie Bradford, PSYD

Practitioner Clinical Neuropsychologist Saint Cloud, MN

Practice location

Address
3812 8th St N STE 200, Saint Cloud, MN 56303-1421
Phone
(513) 612-0876

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 6007 (MN)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1673 (AL)

Registry record

NPI
1891020467
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Oct 2009
Record last updated
22 Nov 2019

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.