BRADLEY MAYNARD NPI 1316288590

NPI Information

Bradley Maynard is a counselor in Salt Lake City, UT. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Bradley Maynard NPI is 1316288590. 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:

252 S 500 E
SALT LAKE CITY, UT
ZIP 84102-030
Phone: (801) 587-3000

The enumeration date for this NPI number is 3/12/2013 and was last updated on 3/12/2013.

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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