| Doctor Name: | PAMELA JANICE BRADLEY |
| NPI Number: | 1740644327 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC INTERN |
| License Number: | 72907 |
| Business Practice Address: | 8700 Us Highway 380 Ste 519 Crossroads, TX - 762272659 |
| Business Phone Number: | 9403659055 |
| Business Fax Number: | |
| Mailing Address: | Po Box 50943, DENTON |
| State: | TX |
| Postal Code: | 762060943 |
| Phone Number: | 9403683348 |
| Fax Number: | |
| NPI Enumeration Date: | 04/08/2016 |
| NPI Last Update Date: | 04/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 72907 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |