Healthcare Provider Details

I. General information

NPI: 1659298842
Provider Name (Legal Business Name): KATRINA BRADLEY PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HIGHPOINT DR STE 215
CHALFONT PA
18914-3925
US

IV. Provider business mailing address

200 HIGHPOINT DR STE 215
CHALFONT PA
18914-3925
US

V. Phone/Fax

Practice location:
  • Phone: 215-491-1119
  • Fax:
Mailing address:
  • Phone: 215-491-1119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS020697
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: