Provider Demographics
NPI:1538520648
Name:BRADY, DENNIS ALAN (PHD, PASTORAL COUNSE)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:ALAN
Last Name:BRADY
Suffix:
Gender:M
Credentials:PHD, PASTORAL COUNSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8564 E COUNTY ROAD 466
Mailing Address - Street 2:SUITE 102
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-3020
Mailing Address - Country:US
Mailing Address - Phone:352-405-6733
Mailing Address - Fax:
Practice Address - Street 1:8564 E COUNTY ROAD 466
Practice Address - Street 2:SUITE 102
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-3020
Practice Address - Country:US
Practice Address - Phone:352-405-6733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral