Kirstin Bradshaw, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Sandwich, MA
NPI 1942615554 · NPPES record last updated Jan 25, 2016
Key facts
- NPI
- 1942615554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 9676 (MA)
- Practice address
- 280 D Route 130
Suite 7 Heritage Park Plaza
Sandwich, MA 02563-2363 - Phone
- (509) 833-1060
- NPI assigned
- Jun 23, 2014
- 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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9676 | MA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9676 | MA | Yes |
Addresses
Primary practice location
280 D Route 130
Suite 7 Heritage Park Plaza
Sandwich, MA 02563-2363
Mailing address
280 D Route 130
Suite 7 Heritage Park Plaza
Sandwich, MA 02563-2363
Phone (509) 833-1060
Other providers in Sandwich, MA
- Kerry Best
- Magda A Bishai
- Alexandra Bodrie
- Elizabeth S Bolton
- William C Bowers
- Briarpatch Pediatrics
- Lynn S Brine
- Kathleen Burchman
- Janice C Burns
- Rebecca Burrows
All providers in Sandwich, MA · Speech-Language Pathologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2016. 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.