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NPI Code Detail

MEDICARE: MRS. MARSHA YOST BRADFORD M.A.

MEDICARE:  MRS. MARSHA YOST BRADFORD  M.A.
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
1101YP2500XProfessional Counselor2006035380MO

General Provider Information

NPI Number : 1154508315
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARSHA YOST BRADFORD M.A.
Provider Business Mailing Address
First Line : 11042 MANCHESTER RD
Second Line :
City : KIRKWOOD
State : MO
Zip : 63122-1244
Country : US
Telephone Number : 314-313-1962
Fax Number : 314-596-4559
Provider Business Practice Location Address
First Line : 11042 MANCHESTER RD
Second Line :
City : KIRKWOOD
State : MO
Zip : 63122-1244
Country : US
Telephone Number : 314-313-1962
Fax Number : 314-596-4559
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2008
Last Update Date : 01/25/2021

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Directions to “ MRS. MARSHA YOST BRADFORD M.A.” Practice Location

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