Provider Demographics
NPI:1386751139
Name:BRADLEY, MARGOT SCOTT (PSYD CNS)
Entity type:Individual
Prefix:DR
First Name:MARGOT
Middle Name:SCOTT
Last Name:BRADLEY
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Gender:F
Credentials:PSYD CNS
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Mailing Address - Street 1:8670 WOLFF CT
Mailing Address - Street 2:SUITE 130
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-6956
Mailing Address - Country:US
Mailing Address - Phone:303-430-4010
Mailing Address - Fax:303-430-5306
Practice Address - Street 1:8670 WOLFF CT
Practice Address - Street 2:SUITE 130
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6956
Practice Address - Country:US
Practice Address - Phone:303-430-4010
Practice Address - Fax:303-430-5306
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2009-07-29
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Provider Licenses
StateLicense IDTaxonomies
CO2225103TC0700X
CO71631364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health