| NPI | 1922581479 |
|---|---|
| Professional Name | BRADLEY THOMAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 024994-01) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2022-08-26 |