Mr. Brad William Houghton
Clinical Child & Adolescent Psychologist
22426 Saint Francis Blvd
Anoka
, Minnesota 55303-9670
Mr. Brad William Houghton
Clinical Child & Adolescent Psychologist
22426 Saint Francis Blvd
Anoka
, Minnesota 55303-9670
(763) 753-6529
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Mr. Brad William Houghton
- 22426 Saint Francis Blvd
- Anoka, MN
- Zip : 55303-9670
- Fax : (763) 753-6529
- Phone : (763) 753-7310
Second Address
- Mr. Brad William Houghton
- 22426 Saint Francis Blvd
- Anoka, MN
- Zip : 55303-9670
- Fax : (763) 753-6529
- Phone : (763) 753-7310
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 4812 | MN |
National Provider Identifier
| NPI | 1053528125 |
|---|---|
| Provider Name | Mr. Brad William Houghton |
| First Address | Anoka, MN 55303-9670 |
| Second Address | Anoka, MN 55303-9670 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2007 |
| Last Update Date | 08/07/2007 |
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.