Avery, Bradley Mark

Avery, Bradley Mark is an individual health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610-1231. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Avery, Bradley Mark can be contacted via phone (704) 674-3751.

Contact Information

Primary practice address
3000 New Bern Ave Raleigh NC 27610-1231
Phone: (704) 674-3751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X

Profile Details

NPI number 1063948727
LBN Legal business name Avery, Bradley Mark
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2017
Last updated Jun 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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