Individual
MISS JESSICA TAYLER BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
2662 S 25TH AVE, YUMA, AZ 85364-6829
(928) 287-1296
Mailing address
2662 S 25TH AVE, YUMA, AZ 85364-6829
(928) 287-1296
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10880
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLPA10880
AZ SLPA LICENSE
AZ
Enumeration date
10/12/2017
Last updated
10/12/2017
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