Provider Demographics
NPI:1558558734
Name:BRADLEY, SHERA DEANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHERA
Middle Name:DEANNE
Last Name:BRADLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 E WARM SPRINGS RD STE 115
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4680
Mailing Address - Country:US
Mailing Address - Phone:702-263-0094
Mailing Address - Fax:702-361-5080
Practice Address - Street 1:1820 E WARM SPRINGS RD STE 115
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4680
Practice Address - Country:US
Practice Address - Phone:702-263-0094
Practice Address - Fax:702-361-5080
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist