Individual
MS. MARCIA E BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
92 GRAPE ST, UNIT 1, NEW BEDFORD, MA 02740-2143
(508) 991-2332
(508) 991-8437
Mailing address
2 BEACH RD, MATTAPOISETT, MA 02739-2221
(508) 758-3312
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4070
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00506196
ASHA
MA
01
—
0720054
MASSHEALTH
MA
01
—
1922265792
BOSTON MEDICAL CENTER HEALTHNET PLAN
MA
01
—
498366
TUFTS
MA
01
—
AA14788
HARVARD PILGRIM
MA
01
—
SP0291
BLUE CROSS BLUE SHIELD MASSACHUSETTS
MA
Enumeration date
05/20/2008
Last updated
04/20/2009
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