| Doctor Name: | DR. KRISTINE LYNN BRADY |
| NPI Number: | 1295716389 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 455 |
| Business Practice Address: | 110 E Main St Vermillion, SD - 570692201 |
| Business Phone Number: | 6056249307 |
| Business Fax Number: | 6056249308 |
| Mailing Address: | 110 E Main St, P.o. Box 283 VERMILLION |
| State: | SD |
| Postal Code: | 570692201 |
| Phone Number: | 6056249307 |
| Fax Number: | 6056249308 |
| NPI Enumeration Date: | 11/07/2005 |
| NPI Last Update Date: | 01/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 455 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |