Organization Name: | SONJA BRADFORD, MS CCC-SLP, PLLC |
NPI Number: | 1942442280 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SONJA BRADFORD (OWNER/DIRECTOR) |
Mailing Address: | 9725 Se 36th St Suite 205 Mercer Island |
State: | WA US |
Postal Code: | 980403841 |
Phone Number: | 2062322046 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2009 |
NPI Last Update Date: | 04/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00002871 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |