Dejrah Monique Bradley
Group Psychotherapist Counseling Psychologist Addiction Psychologist (Substance Use Disorder)
6333 E Skelly Dr
Tulsa
, Oklahoma 74135-6106
Dejrah Monique Bradley
Group Psychotherapist Counseling Psychologist Addiction Psychologist (Substance Use Disorder)
6333 E Skelly Dr
Tulsa
, Oklahoma 74135-6106
(918) 402-8723
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Counseling Psychologist
- Group Psychotherapist
Languages spoken
- English
Location
First Address
- Dejrah Monique Bradley
- Po Box 1581
- Broken Arrow, OK
- Zip : 74013-1581
- Phone : (918) 402-8723
Second Address
- Dejrah Monique Bradley
- 6333 E Skelly Dr
- Tulsa, OK
- Zip : 74135-6106
- Phone : (918) 664-4224
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
| N | 103TC1900X | Counseling Psychologist | ||
| N | 103TP2701X | Group Psychotherapist |
National Provider Identifier
| NPI | 1598350795 |
|---|---|
| Provider Name | Dejrah Monique Bradley |
| First Address | Broken Arrow, OK 74013-1581 |
| Second Address | Tulsa, OK 74135-6106 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2021 |
| Last Update Date | 09/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1588706048 | (05) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.