NPI 1881360378 · live from the CMS NPI Registry
Royce Blair Bradley
Speech-Language Pathologist, in Daniels, WV. National Provider Identifier 1881360378, active.
NPI record
| NPI | 1881360378 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 120 Hanworth Ln, Daniels, WV 25832 |
| Practice phone | 304-542-3544 |
| Mailing address | 1443 15th St, Huntington, WV 25701 |
| Enumerated | August 17, 2021 |
| Last updated | December 6, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.