Sylvia Kirkendall Bradley, LPTA
Individual provider Active NPI Speech-Language Pathologist · Dunn, NC
NPI 1598877334 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1598877334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1016 (NC)
- Practice address
- 1100 S Clinton Avenue
Suite C
Dunn, NC 28334 - Phone
- (910) 892-0027
- Fax
- (910) 892-0029
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1016 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Therapy Services Inc | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1016 | NC | Yes |
Addresses
Primary practice location
1100 S Clinton Avenue
Suite C
Dunn, NC 28334
Mailing address
1100 S Clinton Avenue
Suite C
Dunn, NC 28334
Phone (910) 892-0027
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 721634 | Medicaid | NC |
Other providers in Dunn, NC
- Blessed Health & Rehab of Dunn, LLC
- Blue File DME, LLC
- Grady Blue Jr.
- Ashley Bobzien
- Dawn L Boyer
- Angela Jenise Brake
- Samantha Bredenkamp
- Ellie Nicole Brendel
- Brent R. Ellmers, MD
- Britthaven, Inc.
All providers in Dunn, NC · Speech-Language Pathologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.