Magan Nicole Bradford, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Como, TX
NPI 1922729672 · NPPES record last updated Sep 9, 2022
Key facts
- NPI
- 1922729672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 110333 (TX)
- Practice address
- 13017 E Texas Highway 11
Como, TX 75431-3716 - Phone
- (903) 488-3671
- NPI assigned
- Sep 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110333 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Como-Pickton Cisd | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 110333 | TX | Yes |
Addresses
Primary practice location
13017 E Texas Highway 11
Como, TX 75431-3716
Mailing address
2186 County Road 2425
Como, TX 75431-4800
Phone (903) 348-8908
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | bradfordm@cpcisd.net | Direct |
Other providers in Como, TX
All providers in Como, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2022. 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.