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BRADLEY JOLINE ANTONIDES M.S.
NPI 1235561093
Psychologist - Clinical in Fort Polk, LA

Active since August 04, 2013
1585 3RD ST, FORT POLK, LA 71459(337) 531-6140 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bradley Joline Antonides M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY JOLINE ANTONIDES M.S. (NPI 1235561093) is an individual clinical provider in Fort Polk, Louisiana, licensed in Washington (PY60633804) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1235561093
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameBRADLEY JOLINE ANTONIDESCredential: M.S.
Location Address1585 3RD STFort Polk, LA 71459-5102
Mailing Address1585 3rd StFort Polk, LA 71459-5102
Phone(337) 531-6140
Sole ProprietorNo
Enumeration DateAugust 4, 2013
Last NPPES UpdateFebruary 21, 2017
✔ NPI 1235561093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WA · PY60633804
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1585 3RD ST, Fort Polk, LA 71459
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFERY ALAN WHITE D.O.
Orthopaedic Surgery
1585 3RD ST
FORT POLK, LA 71459
Vernon Parish (337) 531-3896
DR. LINDSAY EDWARDS MUNCY M.D.
Internal Medicine
1585 3RD ST
FORT POLK, LA 71459
Vernon Parish (706) 787-6945
DR. ANNIKA ELAINE ZIMMERMAN AU.D.
Audiologist
1585 3RD ST
FORT JOHNSON, LA 71459
Vernon Parish (337) 531-2629
MARCO I MIRNICS DPT
Physical Therapist
1585 3RD ST
FORT JOHNSON, LA 71459
Vernon Parish (615) 609-1424
LILLIAN ROZANSKI KEPPINGER RD
Dietitian, Registered
1585 3RD ST
FORT JOHNSON, LA 71459
Vernon Parish (318) 451-6947
KIARA GLORIA YEATMAN SCHIEN DO
Pediatrics
1585 3RD ST
FORT POLK, LA 71459
Vernon Parish (726) 780-2385
GERARD TIFFAULT MD
Emergency Medicine
1585 3RD ST
FORT POLK, LA 71459
Vernon Parish (240) 351-9565
MARK BRADLEY
Social Worker (Clinical)
1585 3RD ST, BJACH
FORT POLK, LA 71459
Vernon Parish (337) 531-3942

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Antonides's NPI number?

The NPI number for Bradley Antonides is 1235561093. It was assigned to this individual provider in the NPPES registry on August 4, 2013.

Where is Bradley Antonides located?

Bradley Antonides practices at 1585 3rd St, Fort Polk, LA 71459. The listed phone number is (337) 531-6140.

What is Bradley Antonides's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Bradley Antonides was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.