Lori A Bradbury, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Greencastle, IN
NPI 1679871685 · NPPES record last updated Mar 1, 2011
Key facts
- NPI
- 1679871685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22004711A (IN)
- Practice address
- 1014 Mill Pond Lane
Greencastle, IN 46135 - Phone
- (765) 653-4397
- NPI assigned
- Mar 1, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22004711A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22004711A | IN | Yes |
Addresses
Primary practice location
1014 Mill Pond Lane
Greencastle, IN 46135
Mailing address
9720 Lehman Rd
Worthington, IN 47471
Phone (309) 287-9431
Other providers in Greencastle, IN
- Boatright Inc.
- Erica Bodeker
- Bonzer Medical, LLC
- Brittany Ann Bowles
- Lisa Marie Bozarth
- Robin L Brannan
- Jill Leann Brasher
- Tracey Brook
- Cynthia Carleen Brown
- Rhonda Brown
All providers in Greencastle, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2011. 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.