Sonja Bradford, Ms CCC-SLP, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00002871 Issued in WA

Legal business name

SONJA BRADFORD, MS CCC-SLP, PLLC

Practice address

9725 SE 36TH St
Suite 205
Mercer Island, WA 98040-3841

Phone

(206) 232-2046

NPI assigned

Apr 1, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sonja Bradford, M.S. CCC-SLP

Title

Owner/Director

Phone

(206) 232-2046

Specialties & licenses 1

Addresses

Other names 1

• Mercer Island Speech Pathology Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1942442280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 SE 36TH ST.",
            "address_2": "SUITE 205",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "98040",
            "telephone_number": "206-232-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 SE 36TH ST",
            "address_2": "SUITE 205",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403841",
            "telephone_number": "206-232-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONJA BRADFORD, MS CCC-SLP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "206-232-2046",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00002871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercer Island Speech Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.