| Mr Bradley T Eardley, MA, LMFT | |
|
7 Cuba St, Andover, MA 01810-3407 | |
| (978) 494-4460 | |
| Not Available |
| Full Name | Mr Bradley T Eardley |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 7 Cuba St, Andover, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134386139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 000001404 (Massachusetts) | Primary |
| Entity Name | Broad Meadow Cooperative Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760178453 PECOS PAC ID: 5496293516 Enrollment ID: O20240820001592 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradley T Eardley, MA, LMFT 7 Cuba St, Andover, MA 01810-3407 Ph: (978) 494-4460 | Mr Bradley T Eardley, MA, LMFT 7 Cuba St, Andover, MA 01810-3407 Ph: (978) 494-4460 |
Ms. Karin Susan Lewis, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 68 Main St, Suite 3, Andover, MA 01810 Phone: 978-475-1617 | |
William Anthony Mahoney, D.MIN., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 40 Shattuck Rd Ste 250, Andover, MA 01810 Phone: 603-505-6847 | |
Dr. Chingju Grace Chen, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 68 Park St, Andover, MA 01810 Phone: 978-482-7480 | |
Ms. Quincy Alexandra Lashley Hock, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 204 Andover St Ste 403, Andover, MA 01810 Phone: 978-712-9186 Fax: 855-269-4409 | |
Sophia C Nazzaro, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 40 Shattuck Rd Ste 250, Andover, MA 01810 Phone: 978-222-3121 |