Davidson, Thomas Bradford

Davidson, Thomas Bradford is an sole proprietor health care provider with primary practice located at 8000 E Prentice Ave Suite B-4, Greenwood Village CO 80111-2744. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Davidson, Thomas Bradford can be contacted via phone (303) 796-8451.

Contact Information

Primary practice address
8000 E Prentice Ave Suite B-4 Greenwood Village CO 80111-2744
Phone: (303) 796-8451
Fax: (303) 741-2878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 666-81 Colorado
Behavioral Health & Social Service Providers / Clinical 103TC0700X 666-81 Colorado

Profile Details

NPI number 1720114986
LBN Legal business name Davidson, Thomas Bradford
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2007
Last updated Jul 8th, 2007 - about 17 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 1720114986 NPPES
Colorado MEDICAID 07104490

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