Bradford, Talya Dawn
Bradford, Talya Dawn is an sole proprietor health care provider with primary practice located at 877 Baltimore Annapolis Blvd Ste 308 , Severna Park MD 21146-4716. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bradford, Talya Dawn can be contacted via phone (443) 871-8815.Contact Information
Primary practice address
877 Baltimore Annapolis Blvd Ste 308
Severna Park MD 21146-4716
Phone: (443) 871-8815
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC3182 | Maryland |
Profile Details
| NPI number | 1073742581 |
|---|---|
| LBN Legal business name | Bradford, Talya Dawn |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2009 |
| Last updated | Jun 26th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073742581 | NPPES |
| Maryland | MEDICAID | 0385921 00 | |
| Maryland | MEDICAID | 654699 |
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