Avery, Bradley Mark
Avery, Bradley Mark is an individual health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610-1231. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Avery, Bradley Mark can be contacted via phone (704) 674-3751.Contact Information
Primary practice address
3000 New Bern Ave
Raleigh NC 27610-1231
Phone: (704) 674-3751
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X |
Profile Details
| NPI number | 1063948727 |
|---|---|
| LBN Legal business name | Avery, Bradley Mark |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2017 |
| Last updated | Jun 16th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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