DR. LORETTA JEAN BRADLEY PHD NPI 1770779464

NPI Information

  • NPI: 1770779464
  • Provider Name: DR. LORETTA JEAN BRADLEY, PHD
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 4404 IDALOU RD
    LUBBOCK, TX
    ZIP 79403
  • Phone: (806) 762-0481

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NPI Details

DR. Loretta Jean Bradley, PHD is a professional counselor in Lubbock, TX. DR. Loretta Jean Bradley, PHD NPI is 1770779464. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4404 IDALOU RD
LUBBOCK, TX
ZIP 79403-554
Phone: (806) 762-0481
Fax: (806) 767-0571

The enumeration date for this NPI number is 9/17/2007 and was last updated on 9/17/2007.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional11184TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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