Individual ProviderBradford West ApplegatePsychologistBehavioral Health & Social Service ProvidersPractice Address19415 Deerfield Ave, Suite 204, Lansdowne, VA 20176-8452(571) 209-5905PECOS EnrollmentBased on the most recent information from CMS, provider Bradford West Applegate does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1659518538Provider TypeIndividualFull NameApplegate, Bradford WestTitleDr.CredentialPH.D.GenderMaleSole ProprietorNoEnumeration Date1/14/2009Last Updated1/14/2009Contact InformationPractice LocationPractice Address19415 Deerfield Ave, Suite 204, Lansdowne, VA 20176-8452Phone(571) 209-5905FaxUnlisted FaxMailing LocationMailing Address19415 Deerfield Ave, Suite 204, Lansdowne, VA 20176-8452Phone(571) 209-5905FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense0810003665Virginia