BRADLEY MAZICK, PHD,HSPP
Psychologist - Clinical
Active
Individual
NPI: 1518933779
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | Yes | 20041080 (IN) |
Frequently Asked Questions
NPI 1518933779 is the National Provider Identifier for BRADLEY MAZICK, PHD,HSPP, a Psychologist - Clinical provider located in South Bend, IN. This NPI was enumerated on February 27, 2006.
BRADLEY MAZICK, PHD,HSPP practices at 1920 RIDGEDALE RD, South Bend, IN 46614.
Quick Facts
- NPI
- 1518933779
- Type
- Individual
- Enumerated
- Feb 27, 2006
- Last Updated
- Jul 22, 2014
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