Powell, Bradley Douglas

Powell, Bradley Douglas is an individual health care provider with primary practice located at 2400 Broadmoor Dr Ste C , Bryan TX 77802-2870. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Powell, Bradley Douglas can be contacted via phone (979) 774-9255.

Contact Information

Primary practice address
2400 Broadmoor Dr Ste C Bryan TX 77802-2870
Phone: (979) 774-9255
Fax: (970) 774-9299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 32062 Texas

Profile Details

NPI number 1699805929
LBN Legal business name Powell, Bradley Douglas
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 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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