| Talya Bradford | |
|
877 Baltimore Annapolis Blvd Ste 308 Severna Park MD 21146-4716 | |
| (667) 777-4935 | |
| (443) 775-7733 |
| Full Name | Talya Bradford |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 877 Baltimore Annapolis Blvd Ste 308, Severna Park, Maryland |
| Authorized Official Name and Position | Talya Bradford (OWNER) |
| Authorized Official Contact | 4438718815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Talya Bradford 877 Baltimore Annapolis Blvd Ste 308 Severna Park MD 21146-4716 Ph: (443) 871-8815 | Talya Bradford 877 Baltimore Annapolis Blvd Ste 308 Severna Park MD 21146-4716 Ph: (667) 777-4935 |
| NPI Number | 1619441631 |
|---|---|
| Provider Enumeration Date | 01/12/2019 |
| Last Update Date | 06/30/2024 |
| Certification Date | 06/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619441631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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