Cathleen C Brady, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Chattanogoa, TN
NPI 1790079192 · NPPES record last updated Jun 2, 2011
Key facts
- NPI
- 1790079192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP0000001604 (TN)
- Practice address
- 4204 Benton Dr
Chattanogoa, TN 37406-1256 - Phone
- (423) 468-4060
- Fax
- (423) 468-4069
- NPI assigned
- Jun 2, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP0000001604 | TN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP0000001604 | TN | Yes |
Addresses
Primary practice location
4204 Benton Dr
Chattanogoa, TN 37406-1256
Mailing address
4204 Benton Dr
Chattanogoa, TN 37406
Phone (423) 468-4060
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 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.