| Doctor Name: | ERIN BRADLEY |
| NPI Number: | 1366595381 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC,SLP |
| License Number: | SLP004640 |
| Business Practice Address: | 1405 Solana Dr Belmont, CA - 940023653 |
| Business Phone Number: | 6505927570 |
| Business Fax Number: | 6505913114 |
| Mailing Address: | 1405 Solana Dr, BELMONT |
| State: | CA |
| Postal Code: | 940023653 |
| Phone Number: | 6505927570 |
| Fax Number: | 6505913114 |
| NPI Enumeration Date: | 01/21/2007 |
| NPI Last Update Date: | 12/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP004640 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |