Doctor Name: | MRS. JULIET BRADFORD |
NPI Number: | 1649588146 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A./CCC-SLP |
License Number: | SA-9602 |
Business Practice Address: | 9117 Nugent Trl West Palm Beach, FL - 334116325 |
Business Phone Number: | 5613073319 |
Business Fax Number: | 5613073319 |
Mailing Address: | 9117 Nugent Trl, WEST PALM BEACH |
State: | FL |
Postal Code: | 334116325 |
Phone Number: | 5617905874 |
Fax Number: | 5617905874 |
NPI Enumeration Date: | 09/17/2010 |
NPI Last Update Date: | 09/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA-9602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |