MEDICARE: DR. BRITTANY RADER PHD

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	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1275891566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRITTANY RADER PHD

Provider Business Mailing Address
First Line	:	3495 PIEDMONT RD NE
Second Line	:	BUILDING ELEVEN SUITE 708
City	:	ATLANTA
State	:	GA
Zip	:	30305-1717
Country	:	US
Telephone Number	:	678-820-6380
Fax Number	:

Provider Business Practice Location Address
First Line	:	3495 PIEDMONT RD NE
Second Line	:	BUILDING ELEVEN SUITE 708
City	:	ATLANTA
State	:	GA
Zip	:	30305-1717
Country	:	US
Telephone Number	:	678-820-6380
Fax Number	:

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

Provider Enumeration Date	:	04/24/2012
Last Update Date	:	08/05/2014

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