Provider Demographics
NPI:1427944628
Name:BRADFORD, ANNA KATE (MS SLP-CF)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:KATE
Last Name:BRADFORD
Suffix:
Gender:F
Credentials:MS SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 E PARMER LN UNIT 1440
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-9760
Mailing Address - Country:US
Mailing Address - Phone:979-575-5430
Mailing Address - Fax:
Practice Address - Street 1:1900 E PARMER LN UNIT 1440
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-9760
Practice Address - Country:US
Practice Address - Phone:979-575-5430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123605235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist