Carroll, John Bradley
Carroll, John Bradley is an sole proprietor health care provider with primary practice located at 31500 W 13 Mile Rd #111, Farmington Hills MI 48334-2164. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Carroll, John Bradley can be contacted via phone (248) 855-9220.Contact Information
Primary practice address
31500 W 13 Mile Rd #111
Farmington Hills MI 48334-2164
Phone: (248) 855-9220
Fax: (248) 855-3866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301007077 | Michigan |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
| NPI number | 1952549891 |
|---|---|
| LBN Legal business name | Carroll, John Bradley |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2009 |
| Last updated | Jan 30th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952549891 | NPPES |
| Michigan | Other | 68-0-F3-3086-0 | BCBS OF MICHIGAN |
Popular Providers
-
Shapero, Dana Maryse
32841 Middlebelt Rd Ste 405 , Farmington Hills MI 48334-1771 -
Russman, Elaine Tanzman
33045 Hamilton Ct Suite W-300, Farmington Hills MI 48334-3385 -
Malakha, Mariam Nashwan
27777 Inkster Rd , Farmington Hills MI 48334 -
Goldner, Aaron Daniel
33045 Hamilton Ct Suite W-300, Farmington Hills MI 48334-3385 -
Deschryver, Jennifer
4120 W Maple Rd Suite 101, Bloomfield Hills MI 48301-3010 -
Sloan, Kevin Cornell
33045 Hamilton Ct Suite W-300, Farmington Hills MI 48334-3385 -
Blau, Cheryl Beth
38345 W 10 Mile Rd Suite 150, Farmington Hills MI 48335-2867 -
Cardew, Allison Shapiro
31275 Northwestern Hwy Ste 120 , Farmington Hills MI 48334-2578