Individual
KATHERINE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1011 PORTERS NECK RD, WILMINGTON, NC 28411-9196
(910) 686-7195
Mailing address
711 AVINGTON LN NE, LELAND, NC 28451-9539
(814) 691-1265
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12356
NC
235Z00000X
Speech-Language Pathologist
1703223
NC
Other
Enumeration date
11/10/2016
Last updated
04/28/2020
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