| Doctor Name: | MRS. MARSHA YOST BRADFORD |
| NPI Number: | 1154508315 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | 2006035380 |
| Business Practice Address: | 758 Chamberlain Pl Suite 103 Webster Groves, MO - 631192716 |
| Business Phone Number: | 3149632004 |
| Business Fax Number: | 3149630024 |
| Mailing Address: | 758 Chamberlain Pl, Suite 103 WEBSTER GROVES |
| State: | MO |
| Postal Code: | 631192716 |
| Phone Number: | 3149632004 |
| Fax Number: | 3149630024 |
| NPI Enumeration Date: | 01/29/2008 |
| NPI Last Update Date: | 01/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2006035380 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |