BRADLEY VATTILANA NPI 1184276511

NPI Information

Bradley Vattilana is a mental health counselor in Fort Myers, FL. Bradley Vattilana NPI is 1184276511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3677 CENTRAL AVE STE I
FORT MYERS, FL
ZIP 33901-226
Phone: (239) 839-3907

The enumeration date for this NPI number is 7/16/2019 and was last updated on 7/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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