| Doctor Name: | MS. IRENE ELIZABETH BRADBURY |
| NPI Number: | 1629191549 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MAED, MS |
| License Number: | |
| Business Practice Address: | 4425 Park Blvd Pinellas Park, FL - 337813540 |
| Business Phone Number: | 7276386358 |
| Business Fax Number: | |
| Mailing Address: | 8410 Teresa Catherine Way, Apt. 202 PORT RICHEY |
| State: | FL |
| Postal Code: | 346680110 |
| Phone Number: | 7274598399 |
| Fax Number: | |
| NPI Enumeration Date: | 04/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |