Hieger, Bradley

Hieger, Bradley is an individual health care provider with primary practice located at 5975 Parkway North Blvd Suite 300 D, Cumming GA 30040-1226. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Hieger, Bradley can be contacted via phone (404) 388-3909.

Contact Information

Primary practice address
5975 Parkway North Blvd Suite 300 D Cumming GA 30040-1226
Phone: (404) 388-3909
Fax: (678) 712-1945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC005028 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY003603 Georgia
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY003603 Georgia

Profile Details

NPI number 1740355288
LBN Legal business name Hieger, Bradley
Credentials PH.D., L.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Sep 18th, 2012 - about 12 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 1740355288 NPPES
Georgia MEDICAID 883083592A

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