SearchArkansas101YM0800X

Patricia Bradley, LPC

NPI 1942742259 · on the registry since 2016 · sole proprietor

Practice

Address
2501 Dave Ward Dr
Suite A5
Conway, AR 72034
Phone
(501) 329-7727
Organisation at this address
Defy Age Med Spa, Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas