| Doctor Name: | DR. BRADY GARRETT |
| NPI Number: | 1124405147 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | |
| Business Practice Address: | 1277 Skill Center Cir Tahlequah, OK - 744646495 |
| Business Phone Number: | 9182974977 |
| Business Fax Number: | |
| Mailing Address: | 1277 Skill Center Cir, TAHLEQUAH |
| State: | OK |
| Postal Code: | 744646495 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2015 |
| NPI Last Update Date: | 04/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |