| Jacqueline Bradley-diver | |
|
416 Trolley Way West Chester PA 19382-4310 | |
| (610) 357-1817 | |
| Not Available |
| Full Name | Jacqueline Bradley-diver |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 416 Trolley Way, West Chester, Pennsylvania |
| Authorized Official Name and Position | Jacqueline Ann Bradley-diver (BEHAVIOR SPECIALIST - MT) |
| Authorized Official Contact | 6103571817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Bradley-diver 416 Trolley Way West Chester PA 19382-4310 Ph: (610) 357-1817 | Jacqueline Bradley-diver 416 Trolley Way West Chester PA 19382-4310 Ph: (610) 357-1817 |
| NPI Number | 1851644348 |
|---|---|
| Provider Enumeration Date | 10/21/2012 |
| Last Update Date | 10/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851644348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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