Bradley, Jessie

Bradley, Jessie is an individual health care provider with primary practice located at 179 County Route 64 , Mexico NY 13114-4219. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Bradley, Jessie can be contacted via phone (315) 591-8032.

Contact Information

Primary practice address
179 County Route 64 Mexico NY 13114-4219
Phone: (315) 591-8032
Fax: (315) 963-4464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 001813-1 New York
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 14000015786 New York

Profile Details

NPI number 1750659454
LBN Legal business name Bradley, Jessie
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2011
Last updated Dec 8th, 2011 - about 14 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.

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