Doctor Name: | SYLVIA A BRADD |
NPI Number: | 1013174119 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 1862 |
Business Practice Address: | 1555 Elm St Manchester, NH - 031011203 |
Business Phone Number: | 6036684111 |
Business Fax Number: | 6036287757 |
Mailing Address: | 401 Cypress St, MANCHESTER |
State: | NH |
Postal Code: | 031033628 |
Phone Number: | 6036684111 |
Fax Number: | 6036287757 |
NPI Enumeration Date: | 05/18/2008 |
NPI Last Update Date: | 06/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1862 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |