ABDUR-RAHEIM BRADDOX - NPI 1548615735 - Counselor in Westampton, NJ

Q: What is Abdur-raheim Braddox's NPI number?

The NPI number for Abdur-raheim Braddox is 1548615735. It was assigned to this individual provider in the NPPES registry on April 26, 2016.

Q: What is Abdur-raheim Braddox's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

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About Abdur-raheim Braddox NPPES

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

ABDUR-RAHEIM BRADDOX (NPI 1548615735) is an individual mental health provider in Westampton, New Jersey and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1548615735

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameABDUR-RAHEIM BRADDOX

Location Address770 WOODLANE RDWestampton, NJ 08060-3804

Mailing Address770 Woodlane RdWestampton, NJ 08060-3804 · (609) 267-5928

Phone(609) 267-5928

Sole ProprietorNo

Enumeration DateApril 26, 2016

✔ NPI 1548615735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

770 WOODLANE RD, Westampton, NJ 08060

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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.

ASHLEY CORALLUZZO

Counselor (Mental Health)