Individual provider · Type 1 NPI

Bradley Summers-Johnson

Psychologist · Fort Liberty, NC

NPI number 1154787687 Active

Practice location

2817 Rock Merritt Ave
Fort Liberty, NC 28310-2697

Call (910) 907-8922 Map

Fax (910) 907-6069

Mailing address

11022 Dean Ct SW
Lakewood, WA 98498-3732

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Psychologist Primary 103T00000XPY60981886 (WA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1154787687

Bradley Summers-Johnson's National Provider Identifier is 1154787687, issued on Jan 13, 2016. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Fort Liberty, NC. The record was last updated on Jan 29, 2025.