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

Individual provider Psychologist · NPI 1396867271

Dr. Mark Lavelle Bradford is a Psychologist in Springfield, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
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Practice location Address checks out

309 N Jefferson Ave Ste 245
Springfield, MO 65806-1108
Phone: (417) 833-9999
Fax: (417) 833-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PYR0472 (MO)

Record details

NPI number1396867271
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 4, 2007
Last updated in NPPESJuly 9, 2007

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