Active NPIIndividual provider

Kathryn R Bradbury, PHD

Psychologist, Clinical in Andover, Massachusetts

NPI Number1104424407
Practice location
26 Chestnut St Ste 2E, Andover, MA 01810-3600
Fax
—
Last updated
October 9, 2020

Kathryn R Bradbury is a Psychologist, Clinical based in Andover, MA. Kathryn R Bradbury practices in Andover, MA and has the professional credentials of PHD. The NPI Number for Kathryn R Bradbury is 1104424407 and holds a License No. 3279 (OR). The current practice location address for Kathryn R Bradbury is 26 Chestnut St Ste 2E, Andover, MA 01810-3600 and can be reached out via phone at 978-749-2700.

Provider Profile Details

NPI Number
1104424407
Provider Name
Kathryn R Bradbury
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
26 Chestnut St Ste 2E, Andover, MA 01810-3600
Phone Number
978-749-2700
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
October 9, 2020
Last Update Date
October 9, 2020
Certification Date
October 7, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Chestnut St Ste 2E
Andover, MA 01810-3600
Zip
01810-3600
Phone Number
978-749-2700
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
200 Presidential Way Unit 2418
Woburn, MA 01801-0068
City
Woburn
State
MA
Zip
01801-0068
Phone Number
860-965-1775

License Information

License Number (1)
3279
License State (1)
OR
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
11369
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathryn R Bradbury, PHD?

The NPI number of Kathryn R Bradbury, PHD is 1104424407. It was assigned on October 9, 2020 and is currently active in the NPPES registry.

What is the specialty of Kathryn R Bradbury, PHD?

Kathryn R Bradbury, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in OR under license number 3279.

Where does Kathryn R Bradbury, PHD practice?

The practice location is 26 Chestnut St Ste 2E, Andover, MA 01810-3600. The office can be reached at 978-749-2700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104424407 directly on the NPPES registry website.

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