BRADLEY ANTONIDES, M.S.

Psychologist - Clinical

Active Individual
NPI: 1235561093

Practice Address

1585 3RD ST
Fort Polk, LA 71459

Phone: (337) 531-6140

Specialties

Specialty Code Primary License
Psychologist - Clinical 103TC0700X Yes PY60633804 (WA)

Frequently Asked Questions

NPI 1235561093 is the National Provider Identifier for BRADLEY ANTONIDES, M.S., a Psychologist - Clinical provider located in Fort Polk, LA. This NPI was enumerated on August 4, 2013.
BRADLEY ANTONIDES, M.S. practices at 1585 3RD ST, Fort Polk, LA 71459.

Quick Facts

NPI
1235561093
Type
Individual
Enumerated
Aug 4, 2013
Last Updated
Feb 21, 2017

Nearby Providers