Most Relevant Information
Provider Data
| NPI Number: | 1003820028 |
| Provider Name: | JOHN MACKEMER BRADLEY PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 2935 |
Most Important Dates
| Enumeration Date: | 07/27/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1777 S HARRISON ST STE 805
DENVER
CO
802103933
Practice Location Phone/Fax
| Phone: | 3036911700 |
| Fax: | 3037585319 |
Provider Mailing Location
1777 S HARRISON ST STE 805
DENVER
CO
802103933
Provider Mailing Phone/Fax
| Phone: | 3036911700 |
| Fax: | 3037585319 |