Bradley, Kelly E
Bradley, Kelly E is an individual health care provider with primary practice located at 6640 Intech Blvd Ste 195 , Indianapolis IN 46278-2014. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Bradley, Kelly E can be contacted via phone (317) 295-0608.Contact Information
Primary practice address
6640 Intech Blvd Ste 195
Indianapolis IN 46278-2014
Phone: (317) 295-0608
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20043645A | Indiana |
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 20043645A | Indiana |
Profile Details
NPI number | 1578963187 |
---|---|
LBN Legal business name | Bradley, Kelly E |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 2nd, 2014 |
Last updated | Jan 11th, 2023 - 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.
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