DR. TERRY STEVEN BRADFORD (NPI# 1952503096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952503096 |
| Entity Type | Individual |
| Full Name | DR. TERRY STEVEN BRADFORD |
| Credential | PHD |
| Practice Address |
17290 Farmington Rd Livonia MI 48152-3151 |
| Practice Telephone | 7345238482 |
| Practice Fax Number | 7345238489 |
| Mailing Telephone | 7345238482 |
| Mailing Fax Number | 7345238489 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301 000005212 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750616884 | Terry Bradford | Counselor | 5525 E 51st St, Suite 400, Tulsa, OK 74135-7461 | 2009-10-07 |
| Street Address |
17290 FARMINGTON RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447651286 | Carly Vivio | Behavioral Analyst | 17290 Farmington Rd, Livonia, MI 48152-3151 | 2014-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851868996 | Trisia Lea Baumgartner | Psychologist | 39319 Plymouth Rd Ste 2&6, Livonia, MI 48150-1059 | 2018-10-26 |
| 1649762303 | Linda S Jones Ms LLP PC | Psychologist | 17940 Farmington Suite 222, Livonia, MI 48154-3185 | 2018-05-30 |
| 1508295635 | Amelia Rivas | Psychologist | 17177 North Laurel Park Dr., Livonia, MI 48152 | 2013-11-08 |
| 1922365287 | Amanda Kay-lynne Kopp | Psychologist | 31572 Schoolcraft Rd., Livonia, MI 48150-4815 | 2012-04-11 |
| 1679808844 | Angel Daniels | Psychologist | 31673 Hillbrook St, Livonia, MI 48152-3390 | 2009-10-06 |
| 1659529139 | Life Cycle Counseling, LLC | Psychologist | 37799 Professional Dr, Livonia, MI 48154-1153 | 2008-09-08 |
| 1376702795 | Linda Susan Jones | Psychologist | 29144 Oriole, Livonia, MI 48154 | 2008-06-02 |
| 1760676381 | Jennifer Zaha | Psychologist | 36650 Five Mile Rd Ste 101, Livonia, MI 48154-1956 | 2007-08-28 |
| 1942405915 | Kellie Ann Whitlock | Psychologist | 29470 Robert Dr, Livonia, MI 48150-3039 | 2007-06-19 |
| 1013038280 | Barbara A Trzcinski | Psychologist | 16461 Edgewood Dr, Livonia, MI 48154-2231 | 2007-04-03 |
| Find all providers in LIVONIA | ||||
Please comment or provide details below to improve the information on DR. TERRY STEVEN BRADFORD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.