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NPI Code Detail

MEDICARE: APRIL RAIN BRADLEY PH.D.

MEDICARE: APRIL RAIN BRADLEY PH.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
1103T00000XPsychologist1192SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336179456
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRIL RAIN BRADLEY PH.D.
Provider Business Mailing Address
First Line : 1331 ELMWOOD AVE STE 300B
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2150
Country : US
Telephone Number : 803-250-5109
Fax Number : 803-369-6109
Provider Business Practice Location Address
First Line : 1331 ELMWOOD AVE STE 300
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2150
Country : US
Telephone Number : 803-250-5109
Fax Number : 803-369-6109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 07/16/2024

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Directions to “ APRIL RAIN BRADLEY PH.D.” Practice Location

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