Bradley K Aldrich, LMFT
Individual provider Active NPI Marriage & Family Therapist · Gap, PA
NPI 1801984083 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801984083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MF000439 (PA)
- Practice address
- 91 Newport Pike
Suite 102
Gap, PA 17527-9579 - Phone
- (717) 442-9577
- Fax
- (717) 442-9675
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MF000439 | PA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Resource & Counseling Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF000439 | PA | Yes |
Addresses
Primary practice location
91 Newport Pike
Suite 102
Gap, PA 17527-9579
Mailing address
91 Newport Pike
Suite 102
Gap, PA 17527-9579
Phone (717) 442-9577
Other providers in Gap, PA
All providers in Gap, PA · Marriage & Family Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.