Doctor Name: | BRADLEY JAMES STALLINGS |
NPI Number: | 1073866604 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M. ED. CCC-SLP |
License Number: | |
Business Practice Address: | 60 Big Creek Ln Ringgold, GA - 307368556 |
Business Phone Number: | 4232984878 |
Business Fax Number: | |
Mailing Address: | 60 Big Creek Ln, RINGGOLD |
State: | GA |
Postal Code: | 307368556 |
Phone Number: | 4232984878 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2012 |
NPI Last Update Date: | 10/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |