| India Gladyes Bradley, LMFT | |
|
2415 University Ave Ste 301, East Palo Alto, CA 94303-1148 | |
| (650) 363-4030 | |
| Not Available |
| Full Name | India Gladyes Bradley |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 2415 University Ave Ste 301, East Palo Alto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003549536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT154215 (California) | Primary |
| Entity Name | County Of San Mateo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679642326 PECOS PAC ID: 9032023171 Enrollment ID: O20031126000292 |
| Mailing Address | Practice Location Address |
|---|---|
| India Gladyes Bradley, LMFT 2415 University Ave, East Palo Alto, CA 94303-1164 Ph: () - | India Gladyes Bradley, LMFT 2415 University Ave Ste 301, East Palo Alto, CA 94303-1148 Ph: (650) 363-4030 |
Mr. Arturo Blanco Villegas, Couples Therapy Medicare: Medicare Enrolled Practice Location: 2415 University Ave Ste 3, East Palo Alto, CA 94303 Phone: 650-363-4030 Fax: 650-328-6834 | |
Erma J. Prothro, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2415 University Ave, Suite 30, East Palo Alto, CA 94303 Phone: 650-363-4030 Fax: 650-328-6834 | |
Ms. Denise M. Chun, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1798 A Bay Road, East Palo Alto, CA 94303 Phone: 650-617-7832 | |
Jairaj Sandhu, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2415 University Ave, East Palo Alto, CA 94303 Phone: 650-363-4030 Fax: 650-328-6834 | |
Chauncey Peter Lamar Chatman, M.A., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2415 University Ave Ste 301, East Palo Alto, CA 94303 Phone: 650-363-4030 Fax: 650-328-6834 | |
Runjhun Nitin Pandit, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2560 Pulgas Ave, East Palo Alto, CA 94303 Phone: 650-325-6466 |