Doctor Name: | KRISTEN M BRADBURY |
NPI Number: | 1821258716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 5 Court St Suite 42, County Office Building Norwich, NY - 138151695 |
Business Phone Number: | 6073371602 |
Business Fax Number: | 6073344519 |
Mailing Address: | Po Box 363, NORWICH |
State: | NY |
Postal Code: | 138150363 |
Phone Number: | 6073369396 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2008 |
NPI Last Update Date: | 06/13/2008 |
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 |