Bradley, Heather R
Bradley, Heather R is an individual health care provider with primary practice located at 7110 Jordan Dr , Rapid City SD 57702. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bradley, Heather R can be contacted via phone (605) 342-4412.Contact Information
Primary practice address
7110 Jordan Dr
Rapid City SD 57702
Phone: (605) 342-4412
Fax: (605) 342-4211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1538286380 |
|---|---|
| LBN Legal business name | Bradley, Heather R |
| Credentials | MS CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538286380 | NPPES |
| South Dakota | MEDICAID | 5833870 |
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