Healthcare Provider Details

I. General information

NPI: 1699644328
Provider Name (Legal Business Name): CAROLINE BRADY PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2025
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 TERRY DR UNIT 593
NEWTOWN PA
18940-4927
US

IV. Provider business mailing address

20 TERRY DR UNIT 593
NEWTOWN PA
18940-4927
US

V. Phone/Fax

Practice location:
  • Phone: 215-259-8264
  • Fax:
Mailing address:
  • Phone: 215-259-8264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS020608
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: