Most Relevant Information
Provider Data
| NPI Number: | 1003549536 |
| Provider Name: | INDIA GLADYES BRADLEY AMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | AMFT132005 |
Most Important Dates
| Enumeration Date: | 07/01/2022 |
| Last Updated: | 07/01/2022 |
Provider Practice Location
2415 UNIVERSITY AVE
EAST PALO ALTO
CA
943031164
Practice Location Phone/Fax
| Phone: | 6503634349 |
| Fax: |
Provider Mailing Location
2415 UNIVERSITY AVE
EAST PALO ALTO
CA
943031164
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |