Mcconnell, Bradley James

Mcconnell, Bradley James is an sole proprietor health care provider with primary practice located at 3550 W Dimond Blvd Unit 302 , Anchorage AK 99502-1555. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mcconnell, Bradley James can be contacted via phone (661) 805-7908.

Contact Information

Primary practice address
3550 W Dimond Blvd Unit 302 Anchorage AK 99502-1555
Phone: (661) 805-7908
Fax: (888) 974-1145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 144849 Alaska
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY60340131 Washington
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY26922 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810004895 Virginia

Profile Details

NPI number 1437381720
LBN Legal business name Mcconnell, Bradley James
Credentials PSYD, ABPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2009
Last updated Oct 11th, 2021 - about 4 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 1437381720 NPPES
Alaska MEDICAID 1711270

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