Individual
AMANDA L. BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1730 N SEA PINES, MESA, AZ 85205-3664
(602) 312-5066
Mailing address
1730 N SEA PINES, MESA, AZ 85205-3664
(602) 312-5066
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7506
AZ
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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