EAST BAY PSYCHOLOGY, PC

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.

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Contact Information

EAST BAY PSYCHOLOGY, PC

3926 VILLAGE CIRCLE DR.
TRAVERSE CITY, MI 49686

Phone: 231-938-5900
Fax: 231-938-5900
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinical	103TC0700X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for EAST BAY PSYCHOLOGY, PC

NPI Number 1417346966

LBN Legal business name EAST BAY PSYCHOLOGY, PC

Authorized official TERENCE BRADLEY - (OWNER & CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/21/2015

Last updated 01/23/2015 - About 11 years ago

Identifiers

MI	License #	6301002718
MI	Other	0B81230	BCBS-M
MI	Other	0Z5488	BCBS-M

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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EAST BAY PSYCHOLOGY, PC

Contact Information

Specialty

Clinical

NPI Profile & details for EAST BAY PSYCHOLOGY, PC

Reviews for EAST BAY PSYCHOLOGY, PC