Diablo Valley Psychotherapy Associates

LBN: G. Kenneth Bradford, Iii, Phd
Diablo Valley Psychotherapy Associates is an health care organization with primary practice located at 936 Dewing Ave Ste E , Lafayette CA 94549-4246. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. G. Kenneth Bradford, Iii, Phd can be contacted via phone (925) 283-9377, or through Bradford, George Kenneth via phone (925) 283-9377.

Contact Information

Primary practice address
936 Dewing Ave Ste E Lafayette CA 94549-4246
Fax:
Website:
Authorized official contact:
Name: Bradford, George Kenneth PHD

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY12277 California
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X PSY12277 California

Profile Details

NPI number 1508896416
LBN Legal business name G. Kenneth Bradford, Iii, Phd
DBA Doing business as Diablo Valley Psychotherapy Associates
Authorized official Bradford, George Kenneth PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Mar 4th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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