Individual
BRADFORD BRYAN MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
79131 HIGHWAY 40, COVINGTON, LA 70435-9334
(985) 892-3636
(985) 892-3169
Mailing address
18205 HIGHWAY 1061, AMITE, LA 70422-6245
(985) 517-6763
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7559
LA
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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