Individual
MS. MICHELLE LYNN BRADBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6200 TUCKERMAN ST, RIVERDALE, MD 20737-1420
(301) 985-1720
Mailing address
6200 TUCKERMAN ST, RIVERDALE, MD 20737-1420
(301) 985-1720
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08584
MD
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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