MEDICARE: MRS. TALYA DAWN BRADFORD LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LC3182	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073742581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TALYA DAWN BRADFORD LCPC

Provider Business Mailing Address
First Line	:	789 OAK STUMP DR
Second Line	:
City	:	MILLERSVILLE
State	:	MD
Zip	:	21108-1850
Country	:	US
Telephone Number	:	443-871-8815
Fax Number	:

Provider Business Practice Location Address
First Line	:	877 BALTIMORE ANNAPOLIS BLVD STE 308
Second Line	:
City	:	SEVERNA PARK
State	:	MD
Zip	:	21146-4716
Country	:	US
Telephone Number	:	443-871-8815
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2009
Last Update Date	:	06/26/2024

Similar Medicare Providers

1952264111 — BIRCH & ARROW THERAPY, L.L.C
Practice Location Address:

877 BALTIMORE ANNAPOLIS BLVD STE 308
SEVERNA PARK, MD
21146-4716

Practice Phone: 757-646-4808
Practice Fax:

1336101351 — MRS. SHERRYL LYNN SILBERMAN MSW LCSWC BCD
Practice Location Address:

877 BALTIMORE ANNAPOLIS BLVD STE 202
SEVERNA PARK, MD
21146-4716

Practice Phone: 410-760-5588
Practice Fax: 410-544-3646

1326144130 — ARUNDEL PSYCHOTHERAPY ASSOCIATES
Practice Location Address:

877 BALTIMORE ANNAPOLIS BLVD STE 202
SEVERNA PARK, MD
21146-4716

Practice Phone: 410-760-5588
Practice Fax: 410-544-3646

1194903492 — JENNIFER ERIN DUGAN LCMFT
Practice Location Address:

877 BALTIMORE ANNAPOLIS BLVD STE 308
SEVERNA PARK, MD
21146-4716

Practice Phone: 301-683-8533
Practice Fax:

1821238734 — ALLYSON KETT PSYD
Practice Location Address:

877 BALTIMORE ANNAPOLIS BLVD STE 202
SEVERNA PARK, MD
21146-4716

Practice Phone: 410-684-3806
Practice Fax:

1053611749 — TANA L CLARKE PHD
Practice Location Address:

877 BALTIMORE ANNAPOLIS BLVD STE 202
SEVERNA PARK, MD
21146-4716

Practice Phone: 410-684-3806
Practice Fax: 410-821-8042

Directions to “ MRS. TALYA DAWN BRADFORD LCPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.