Bradley, Heather Lee

Bradley, Heather Lee is an individual health care provider with primary practice located at 1408 N Piedmont Way , Tallahassee FL 32308-7974. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Bradley, Heather Lee can be contacted via phone (850) 692-6326.

Contact Information

Primary practice address
1408 N Piedmont Way Tallahassee FL 32308-7974
Phone: (850) 692-6326
Fax: (850) 692-6976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY6826 Florida

Profile Details

NPI number 1093822876
LBN Legal business name Bradley, Heather Lee
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Dec 19th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093822876 NPPES
Florida Other 73127 BLUE CROSS PROVIDER NUMBE
Florida Other 591917016 BLUE CROSS PROVIDER NUMBE

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