Individual provider · Type 1 NPI

Robert Wayne Bradley, PSYCHOLOGIST

Specialist · Garland, TX

NPI number 1619969003 Active

Practice location

2692 W Walnut St, Suite 105
Garland, TX 75042-6474

Call (972) 494-2676 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X22628 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1619969003

Robert Wayne Bradley, PSYCHOLOGIST's National Provider Identifier is 1619969003, issued on Aug 22, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Garland, TX. The record was last updated on Jul 12, 2007.