Hedges, Bradley Alan

Hedges, Bradley Alan is an individual health care provider with primary practice located at 624 E Main St , Lancaster OH 43130-3903. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Hedges, Bradley Alan can be contacted via phone (740) 475-0488.

Contact Information

Primary practice address
624 E Main St Lancaster OH 43130-3903
Fax: (740) 409-6976
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E1282-SUPV Ohio
Behavioral Health & Social Service Providers / Counseling 103TC1900X 4581 Ohio

Profile Details

NPI number 1225262520
LBN Legal business name Hedges, Bradley Alan
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2009
Last updated Jul 15th, 2021 - about 3 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 1225262520 NPPES
Ohio MEDICAID 0891816

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