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Contact Information

CORINNA BRADLEY, SSP
16428 EAST KINGSTREE BLVD
FOUNTAIN HILLS, AZ85268
 Phone: 480-837-4565
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CORINNA BRADLEY · (Female)

NPI Number 1497176838
Status Active
Credentials SSP
Entity Individual
Enumeration date 01/03/2014
Last updated 01/03/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 3505816
Hospital affiliation(s) Not Available
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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