Bradley Summers-Johnson
Bradley Summers-Johnson is a Student in an Organized Health Care Education/Training Program in Fort Liberty, North Carolina. Licensed in Washington. Registered with an NPI since 2016.
- Licensed in
- WA
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
2817 Rock Merritt AveFort Liberty, NC 28310-2697
Phone: (910) 907-8922
Fax: (910) 907-6069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence PY60981886 (WA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1154787687 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 13, 2016 |
| Last updated in NPPES | January 29, 2025 |
| Certification date | January 29, 2025 |
| Mailing address | 11022 Dean Ct Sw, Lakewood, WA 98498-3732 |
Other providers in Fort Liberty
-
Jessica Rim
2175 Rock Merritt Ave Stop A, Fort Liberty, NC 28310-0001 · (910) 907-7698
-
Nataleigh Ryan
2175 Rock Merritt Ave, Fort Liberty, NC 28310-5000 · (910) 907-7698
-
Stephanie Jo Sexton, MD
2817 Rock Merritt Ave, Fort Liberty, NC 28310-4863 · (910) 907-8528
-
Stephanie Katherine Skelly, MD
2817 Rock Merritt Ave, Fort Liberty, NC 28310-7141 · (910) 907-8500
-
Veronica Lynn Wade
2817 Rock Merritt Ave, Fort Liberty, NC 28310-1941 · (910) 907-6000