Bradford, Lisa Bazzano

Bradford, Lisa Bazzano is an sole proprietor health care provider with primary practice located at 3462 Essex Ave , Atlanta GA 30339-5752. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bradford, Lisa Bazzano can be contacted via phone (678) 612-6023.

Contact Information

Primary practice address
3462 Essex Ave Atlanta GA 30339-5752
Phone: (678) 612-6023
Fax: (770) 980-1293
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP003520 Georgia

Profile Details

NPI number 1972711596
LBN Legal business name Bradford, Lisa Bazzano
Credentials MA CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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