| Dr Brian William Bradley, PHD | |
|
101 Falls Rd, Suite 404, Grafton, WI 53024-2612 | |
| (262) 375-8441 | |
| (262) 546-0005 |
| Full Name | Dr Brian William Bradley |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 101 Falls Rd, Grafton, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740347608 | NPI | - | NPPES |
| 868 | Other | WI | PSYCHOLOGY LICENSE NUMBER |
| 39050200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 868 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian William Bradley, PHD 101 Falls Rd, Suite 404, Grafton, WI 53024-2612 Ph: (262) 375-8441 | Dr Brian William Bradley, PHD 101 Falls Rd, Suite 404, Grafton, WI 53024-2612 Ph: (262) 375-8441 |
Dr. Lisa Marlette Cottrell, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Aurora Medical Center - Grafton, Suite 410, Grafton, WI 53024 Phone: 262-329-4305 Fax: 262-329-5614 | |
Mary Helen Lillich, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Falls Rd, Suite 404, Grafton, WI 53024 Phone: 262-375-8441 Fax: 262-546-0005 |