Individual
JENNIFER LYNN BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
400 N ROCK ST, SHERIDAN, AR 72150-2228
(870) 543-0804
Mailing address
750 HERITAGE DR APT 37, SHERIDAN, AR 72150-5011
(870) 543-0804
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8153
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175020721
—
AR
01
—
SP#P8153
ARKANSAS BOARD OF EXAMINERS SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY
AR
Enumeration date
02/05/2009
Last updated
12/10/2024
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