National Provider Identifier Database

BRADLEY W SAMUEL, PHD – NPI #1255363586
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

BRADLEY W SAMUEL, PHD
2400 TUCKER NE
ALBUQUERQUE, NM87131-0001
Phone: 505-272-1734
Fax: 505-272-6308
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for BRADLEY W SAMUEL

NPI Number 1255363586
Credentials PHD
Entity Individual
Enumeration date 07/07/2006
Last updated 05/22/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 738
  • AZ Medicaid: 955627
  • CO Medicaid: 09702784
  • NM Other: NM01JB06 BLUE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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