| Bradley Joline Antonides, MS | |
|
1585 3rd St, Fort Polk, LA 71459-5102 | |
| (337) 531-6140 | |
| Not Available |
| Full Name | Bradley Joline Antonides |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 1585 3rd St, Fort Polk, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235561093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY60633804 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Joline Antonides, MS 1585 3rd St, Fort Polk, LA 71459-5102 Ph: () - | Bradley Joline Antonides, MS 1585 3rd St, Fort Polk, LA 71459-5102 Ph: (337) 531-6140 |
Dr. Vincent Anthony Escandell, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 318-473-0010 Fax: 318-483-5096 | |
Dr. Trent Jewel Elliott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, 6136, Fort Polk, LA 71459 Phone: 337-531-6682 Fax: 337-531-3760 | |
Micahel B Gallagher, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 318-531-3922 | |
Dr. Patricia Cornelious, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-1607 |