Doctor Name: | BRADLEY J HIGH |
NPI Number: | 1588761688 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | PC003942 |
Business Practice Address: | 640 Walnut St Reading, PA - 196013504 |
Business Phone Number: | 6102088827 |
Business Fax Number: | |
Mailing Address: | Po Box 316, READING |
State: | PA |
Postal Code: | 196030316 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC003942 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |