| Dr Brad S Kauder Llc | |
|
739 N Main St Ashland OR 97520-1752 | |
| (541) 488-8988 | |
| (541) 488-7977 |
| Full Name | Dr Brad S Kauder Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 739 N Main St, Ashland, Oregon |
| Authorized Official Name and Position | Bradley Scott Kauder (OWNER) |
| Authorized Official Contact | 5414888988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brad S Kauder Llc Po Box 873 Ashland OR 97520-0030 Ph: (541) 488-8988 | Dr Brad S Kauder Llc 739 N Main St Ashland OR 97520-1752 Ph: (541) 488-8988 |
| NPI Number | 1437201878 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 07/08/2013 |
| Medicare PECOS PAC ID | 1153315544 |
|---|---|
| Medicare Enrollment ID | O20040408001541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437201878 | NPI | - | NPPES |
| 182024 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1537 (Oregon) | Primary |
| 103TC0700X | Psychologist - Clinical | 1537 (Oregon) | Secondary |
| Provider Name | Bradley S Kauder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336291707 PECOS PAC ID: 1951395342 Enrollment ID: I20040419000748 |
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