NPI 1689422362 · live from the CMS NPI Registry
Kaitlin Bradley
Psychologist, School in Fairbury, NE. National Provider Identifier 1689422362, active.
NPI record
| NPI | 1689422362 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, School 103TS0200X |
| Practice location | 808 F St, Fairbury, NE 68352 |
| Practice phone | 402-729-6104 |
| Enumerated | May 8, 2024 |
| Last updated | May 8, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, School primary | 103TS0200X | 65374 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.