BRADLEY DEAN GAULT


Address: 98 Liberty Ln, Mineral Wells, WV 26150-1605
Phone: 3044822959

BRADLEY DEAN GAULT (NPI# 1316396062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316396062
Entity Type Individual
Full Name BRADLEY DEAN GAULT
Credential MA
Practice Address 98 Liberty Ln
Mineral Wells
WV 26150-1605
Practice Telephone 3044822959
Mailing Telephone 3044822959
Enumeration Date 2016-06-03
Last Update Date 2016-06-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
859 WV Behavioral Health & Social Service Providers

Office Location

Street Address 98 LIBERTY LN
City MINERAL WELLS
State WV
Zip Code 26150-1605

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275192601 First Settlement Physical Therapy Clinic/Center 1405 Elizabeth Pike, 103, Mineral Wells, WV 26150 2019-06-10
1063753077 Toby D. Daggett Occupational Therapist 435 Society Hill Rd, Mineral Wells, WV 26150 2013-03-15
1255347571 Mountain River Physical Therapy LLC Clinic/Center 63 Hospitality Lane, Suite 1, Mineral Wells, WV 26150 2006-07-31
1003884842 Karen Lee Fahey Nurse Practitioner 272 Frontage Road, Mineral Wells, WV 26150 2006-03-09
1942411053 Jeffrey Ray Haffner Pharmacist 1506 Elizabeth Pike, Mineral Wells, WV 26150 2007-05-24
1427268184 John Irvin Mourat Pharmacist 1506 Elizabeth Pike, Mineral Wells, WV 26150 2007-05-23
1902959356 Amy Carter Physical Therapy Assistant 63 Hospitality Lane, Suite 1, Mineral Wells, WV 26150 2007-01-19
1912050386 Melody Vaught Physical Therapy Assistant 63 Hospitality Lane, Suite 1, Mineral Wells, WV 26150 2007-01-19
1841617644 Mid-ohio Valley Chiropractic and Wellness Clinic/Center 7930 Pike St., Mineral Wells, WV 26150-0040 2014-03-19
1134590532 Finbar G Powderly Clinic/Center 1578 Elizabeth Pike, Mineral Wells, WV 26150-0489 2015-10-12
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548482896 Christina M. Arco, Phd Pllc Psychologist 1013 B Oakhurst Drive, Charleston, WV 25314 2007-05-03
1619041738 Elizabeth A Jennings Psychologist 1705 Jefferson St, Bluefield, WV 24701-4013 2006-11-20
1548362247 Holly A Cloonan Psychologist 3200 Maccorkle Ave Se Fl 5, Charleston, WV 25304-1227 2006-09-02
1073563185 Christina M Arco Psychologist 1013b Oakhurst Dr, Charleston, WV 25314-2049 2006-05-11
1487904918 Jocelyn Joy Brown Psychologist 800 Pennsylvania Ave, Charleston, WV 25302-3351 2012-09-12
1124275300 Youth Health Service, Inc. Psychologist 971 Harrison Avenue, Elkins, WV 26241 2008-08-19
1164559860 Tammy Morgan Hamner Psychologist 917 W Main St, Harron Square, Suite 203, Bridgeport, WV 26330-1650 2007-02-28

Competitor

Search similar providers

City MINERAL WELLS
Zip Code 26150

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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