Don Paul Brady, PHD, PSYD

Individual provider Active NPI Marriage & Family Therapist · Chittenango, NY

NPI 1801935945 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1801935945
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
000605-1 (NY)
Practice address
6230 Dyke Rd
Chittenango, NY 13037-9404
Phone
(315) 687-6993
Fax
(315) 687-6993
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000605-1NYMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000605-1 NY Yes

Addresses

Primary practice location

6230 Dyke Rd
Chittenango, NY 13037-9404

Mailing address

6230 Dyke Rd
Chittenango, NY 13037-9404
Phone (315) 687-6993

Other providers in Chittenango, NY

All providers in Chittenango, NY · Marriage & Family Therapist in New York

Sources for this page

Verify at the official NPI Registry.