Individual
MRS. DEBORAH LYNN BRADY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
289 WESTVIEW DR, SPARTA, NC 28675-8211
(336) 372-4402
(336) 372-7420
Mailing address
289 WESTVIEW DR, SPARTA, NC 28675-8211
(336) 372-4402
(336) 372-7420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2474
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01089394
ASHA
—
05
—
7412518
—
NC
Enumeration date
12/19/2005
Last updated
07/08/2007
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