Jeanine M Bradley in Poplar Bluff - Speech-language Pathologist
Jeanine M Bradley - NPI 1881734051
Jeanine M Bradley is a Speech-language Pathologist in Poplar Bluff, Missouri. Jeanine M Bradley practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jeanine M Bradley is 1881734051. The last update date is 2007-07-08.
Jeanine M Bradley's current location address is 1110 N Westwood Blvd, Poplar Bluff, Missouri. You can contact this provider via phone number 5737856707 and fax number 5737850336. The mailing address for Jeanine M Bradley is 1110 N Westwood Blvd, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanine M Bradley |
|---|---|
| Address | 1110 N Westwood Blvd, Poplar Bluff, Missouri |
| Phone Number | 5737856707 |
| Fax Number | 5737850336 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1881734051 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1110 N Westwood Blvd |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639013336 |
| Phone Number | 5737856707 |
| Fax Number | 5737850336 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 111864 |
|
Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111864 | MO | SPEECH LICENSE |
Post Comment/ Review Below
What is the Jeanine M Bradley's 1881734051?
The Jeanine M Bradley's NPI (National Provider Identifier) Number is 1881734051. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jeanine M Bradley is physically located?
The Jeanine M Bradley is situated at the following address: 1110 N Westwood Blvd, Poplar Bluff, MO 639013336.
What is Jeanine M Bradley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeanine M Bradley is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
On what date did Jeanine M Bradley receive its 1881734051 assignment from the Centers for Medicare & Medicaid Services?
The Jeanine M Bradley was assigned its 1881734051 on 2007-02-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jeanine M Bradley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeanine M Bradley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1679570980
Address: 333 S Beaudry Ave, Los Angeles, CA
NPI Number: 1689648701
Address: 100 Bavington Rd, Burgettstown, PA