| Doctor Name: | LISA C. BRADLEY |
| NPI Number: | 1083074231 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC |
| License Number: | PC005958 |
| Business Practice Address: | 6832 Phillips Mill Rd New Hope, PA - 189389682 |
| Business Phone Number: | 2159135787 |
| Business Fax Number: | |
| Mailing Address: | 33 Charter Oak Ct, DOYLESTOWN |
| State: | PA |
| Postal Code: | 189012787 |
| Phone Number: | 2159135787 |
| Fax Number: | |
| NPI Enumeration Date: | 03/01/2016 |
| NPI Last Update Date: | 03/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PC005958 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |