Bradford, Lonnie

Bradford, Lonnie is an sole proprietor health care provider with primary practice located at 3812 8Th St N Ste 200 , Saint Cloud MN 56303-1421. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Bradford, Lonnie can be contacted via phone (513) 612-0876.

Contact Information

Primary practice address
3812 8Th St N Ste 200 Saint Cloud MN 56303-1421
Phone: (513) 612-0876
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1673 Alabama
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6007 Minnesota

Profile Details

NPI number 1891020467
LBN Legal business name Bradford, Lonnie
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2009
Last updated Nov 22nd, 2019 - about 5 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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