| Doctor Name: | ANGELA R. BRADSHAW |
| NPI Number: | 1508827031 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MCD,CCC-SLP |
| License Number: | SP1632 |
| Business Practice Address: | 1298 Hillcrest Dr Piggott, AR - 724543121 |
| Business Phone Number: | 8705983049 |
| Business Fax Number: | |
| Mailing Address: | 1298 Hillcrest Dr, PIGGOTT |
| State: | AR |
| Postal Code: | 724543121 |
| Phone Number: | 8705983049 |
| Fax Number: | |
| NPI Enumeration Date: | 04/02/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | SP1632 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |