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Bradley Summers-johnson
Psychologist in Fort Liberty, North Carolina
NPI 1154787687

Bradley Summers-johnson is a Psychologist based in Lakewood, NC. Bradley Summers-johnson practices in Fort Liberty, NC. The NPI Number for Bradley Summers-johnson is 1154787687 and holds a License No. (North Carolina).

The current practice location address for Bradley Summers-johnson is 2817 Rock Merritt Ave, Fort Liberty, NC and can be reached out via phone at 910-907-8922 and via fax at 910-907-6069.

Location: 2817 Rock Merritt Ave, Fort Liberty, NC, 98498-3732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154787687
Provider Name
Bradley Summers-johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2817 Rock Merritt Ave, Fort Liberty, NC, 98498-3732
Phone Number
910-907-8922
Fax Number
910-907-6069
Provider Enumeration Date
01/13/2016
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
2817 Rock Merritt Ave
City
Fort Liberty
State
North Carolina
Zip
28310-2697
Phone Number
910-907-8922
Fax Number
910-907-6069
person
Provider Business Mailing Address Details
Address
2817 Rock Merritt Ave
City
Fort Liberty
State
North Carolina
Zip
28310-2697
Phone Number
910-907-8922
Fax Number
910-907-6069
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
PY60981886 (Washington)
Definition
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 adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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