Provider Demographics
NPI:1518186964
Name:COUTTS, BRADLEY DEVER (MA)
Entity Type:Individual
Prefix:MR
First Name:BRADLEY
Middle Name:DEVER
Last Name:COUTTS
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10827 NE 68TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-4000
Mailing Address - Country:US
Mailing Address - Phone:425-822-2281
Mailing Address - Fax:
Practice Address - Street 1:10827 NE 68TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-4000
Practice Address - Country:US
Practice Address - Phone:425-822-2281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health