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Dr. John Wesley Addis, PHD
Psychologist in Bradford, Pennsylvania
NPI 1306028105

John Wesley Addis is a Psychologist based in Bradford, PA. John Wesley Addis practices in Bradford, PA and has the professional credentials of PHD. The NPI Number for John Wesley Addis is 1306028105 and holds a License No. PS002352L (Pennsylvania).

The current practice location address for John Wesley Addis is 23 Kennedy Street, Bradford, PA and can be reached out via phone at 814-362-2136 and via fax at 814-362-2136.

Location: 23 Kennedy Street, Bradford, PA, 16701-2005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306028105
Provider Name
John Wesley Addis
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
23 Kennedy Street, Bradford, PA, 16701-2005
Phone Number
814-362-2136
Fax Number
814-362-2136
Provider Enumeration Date
12/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6803636 01 PA VALUE OPTIONS
0004277250 01 PA AETNA
000507570001 01 NY BCBS OF WNY
1415000 01 PA MEGALLAN
P009953 01 PA TRICARE
00050141001 01 PA HMO
031013 01 PA BCBS
institution
Provider Business Practice Location Address Details
Address
23 Kennedy Street
City
Bradford
State
Pennsylvania
Zip
16701-2005
Phone Number
814-362-2136
Fax Number
814-362-2136
person
Provider Business Mailing Address Details
Address
23 Kennedy Street
City
Bradford
State
Pennsylvania
Zip
16701-2005
Phone Number
814-362-2136
Fax Number
814-362-2136
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
PS002352L (Pennsylvania)
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.
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