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NPI Code Detail

MEDICARE: DR. BRADLEY WAYNE ESTES PSY.D.

MEDICARE:  DR. BRADLEY WAYNE ESTES  PSY.D.
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
1103G00000XClinical Neuropsychologist20042177AIN

General Provider Information

NPI Number : 1013130871
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADLEY WAYNE ESTES PSY.D.
Provider Business Mailing Address
First Line : 14740 N COUNTY ROAD 350 E
Second Line :
City : HOPE
State : IN
Zip : 47246-9623
Country : US
Telephone Number : 812-764-0733
Fax Number : 888-366-7403
Provider Business Practice Location Address
First Line : 2675 FOX POINTE DR A
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-3391
Country : US
Telephone Number : 812-376-0900
Fax Number : 888-366-7403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 10/06/2015

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Directions to “ DR. BRADLEY WAYNE ESTES PSY.D.” Practice Location

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