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 |