| Bradford J Eaton Phd | |
|
15744 Sunrise Trl Granger IN 46530-9034 | |
| (574) 335-8800 | |
| (574) 335-8801 |
| Full Name | Bradford J Eaton Phd |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 15744 Sunrise Trl, Granger, Indiana |
| Authorized Official Name and Position | Bradford J Eaton (PRESIDENT/OWNER) |
| Authorized Official Contact | 2743358800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford J Eaton Phd 15744 Sunrise Trl Granger IN 46530-9034 Ph: (574) 335-8800 | Bradford J Eaton Phd 15744 Sunrise Trl Granger IN 46530-9034 Ph: (574) 335-8800 |
| NPI Number | 1417251109 |
|---|---|
| Provider Enumeration Date | 01/10/2011 |
| Last Update Date | 01/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417251109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 20041020A (Indiana) | Primary |
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