IndividualActive
Danielle Bradshaw, D.O.
NPI 1710187539 · Child & Adolescent Psychiatry Physician · Vandalia, MO
Provider details
- NPI number
- 1710187539
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 2012012825 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1101 E Hw 54
Womens Eastern Reception Diagnostic and Correctional Ce
Vandalia, MO 63382
Phone: (573) 594-6686
Approximate (ZIP-level) locationGet directions
Mailing address
1026 Northeast Dr
Jefferson City, MO 65109
Registry dates
- Enumerated
- 2007-07-19
- Last updated
- 2013-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.