Provider Demographics
NPI:1003039850
Name:BRADLEY, CATHERINE MARIE
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:MARIE
Last Name:BRADLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8822 BROOKFIELD AVE
Mailing Address - Street 2:UNIT 310
Mailing Address - City:BROOKFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:65013
Mailing Address - Country:US
Mailing Address - Phone:773-405-3562
Mailing Address - Fax:
Practice Address - Street 1:8822 BROOKFIELD AVE
Practice Address - Street 2:UNIT 310
Practice Address - City:BROOKFIELD
Practice Address - State:IL
Practice Address - Zip Code:65013
Practice Address - Country:US
Practice Address - Phone:773-405-3562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146347005235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist