Individual
SUSAN C. BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
100 ALDEN ST, PROVINCETOWN, MA 02657-1456
(774) 722-0840
(508) 487-7706
Mailing address
90 VIOLA ROAD, P.O.BOX 429, NORTH EASTHAM, MA 02651-0429
(774) 722-0840
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1923
MA
Other
Enumeration date
03/15/2007
Last updated
06/18/2010
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