Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley Joline Antonides, MS

Individual provider Clinical Psychologist · NPI 1235561093

Bradley Joline Antonides, MS is a Clinical Psychologist in Fort Polk, Louisiana. Licensed in Washington. Registered with an NPI since 2013.

Licensed in
WA
In the registry since
2013
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1585 3rd St
Fort Polk, LA 71459-5102
Phone: (337) 531-6140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY60633804 (WA)

Record details

NPI number1235561093
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorNo
NPI enumeratedAugust 4, 2013
Last updated in NPPESFebruary 21, 2017
Mailing address1585 3rd St, Fort Polk, LA 71459-5102

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