Karen Elaine Bradley, MSCCC/SLP
Individual provider Active NPI Speech-Language Pathologist · West Union, WV
NPI 1265610596 · NPPES record last updated Feb 8, 2008
Key facts
- NPI
- 1265610596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 104 Sistersville Pike
West Union, WV 26456-1034 - Phone
- (304) 873-2300
- Fax
- (304) 873-2210
- NPI assigned
- Feb 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doddridge County Board of Education | Past | Accepting new patients | |
| Doddridge County Board of Education | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | WV | Yes |
Addresses
Primary practice location
104 Sistersville Pike
West Union, WV 26456-1034
Mailing address
104 Sistersville Pike
West Union, WV 26456-1034
Phone (304) 873-2300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810001868 | Medicaid | WV |
Other providers in West Union, WV
- Onie Bell
- Karen Binkley
- Abigail Blake
- Harold Blake
- Tiffany Marie Blankenship
- Savannah Bradley
- Theresa Bright
- Beatrice Brittion
- Katherine Brooks
- Arthur Lewis Calhoun
All providers in West Union, WV · Speech-Language Pathologist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.