National Provider Identifier
Mary Bradley
Mary Bradley is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 350-8412.
Profile Overview
- NPI
- 1982291431
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- December 30, 2020
- Last Updated
- December 30, 2020
Practice Location
- 58 Dorvid RD
- Rochester, NY 14617-2104
Phone: (585) 350-8412
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1982291431
- Entity Type
- Individual
- Last Name
- Bradley
- First Name
- Mary
- Mailing Street Address
- 58 Dorvid RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-2104
- Mailing Country
- US
- Mailing Phone
- (585) 350-8412
- Practice Street Address
- 58 Dorvid RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617-2104
- Practice Country
- US
- Practice Phone
- (585) 350-8412
- Enumeration Date
- December 30, 2020
- Last Updated
- December 30, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- December 30, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)