Kathryn Lynn Bradley-Askren, PH.D.

Individual provider Active NPI School Psychologist · Los Lunas, NM

NPI 1760638514 · NPPES record last updated Aug 12, 2008

Key facts

NPI
1760638514
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
262944 (NM)
Practice address
343 Main St NW
Los Lunas, NM 87031-8712
Phone
(505) 866-8348
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
262944NMMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Lunas Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 262944 NM Yes

Addresses

Primary practice location

343 Main St NW
Los Lunas, NM 87031-8712

Mailing address

343 Main St NW
Los Lunas, NM 87031-8712
Phone (505) 866-8348

Other providers in Los Lunas, NM

All providers in Los Lunas, NM · School Psychologist in New Mexico

Sources for this page

Verify at the official NPI Registry.