| Organization Name: | BRADFORD PSYCHIATRIC ASSOCIATES. LLC |
| NPI Number: | 1184747339 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACK DUFFY (ADMINISTRATOR) |
| Mailing Address: | 21 Upper Pln Bradford |
| State: | VT US |
| Postal Code: | 050339016 |
| Phone Number: | 8022225201 |
| Fax Number: | 8022225290 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 04/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |