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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADLEY/CLEVELAND DEVELOPMENTAL SERVICES

Deactivated Organization

BRADLEY/CLEVELAND DEVELOPMENTAL SERVICES is a Speech-Language Pathologist organization located in CLEVELAND, Tennessee. NPI 1376647479 is deactivated in the NPPES registry. Verify at CMS.

Speech-Language Pathologist · CLEVELAND, TN

This NPI has been deactivated. The record was deactivated on February 18, 2022. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1376647479
Provider Type
Organization
NPI Issued
Sep 11, 2006 (15.438356164384 yrs)
Last Updated
Sep 11, 2025
Deactivated
Feb 18, 2022
Licenses
11041 (TN)
012009 (TN)
MD0000020193 (TN)

Practice Information

Address
764 OLD CHATTANOOGA PK SW
CLEVELAND, TN, 373640007
Browse TN providers · Browse ZIP 37364
Phone
4233385238
Primary Specialty
Speech-Language Pathologist
235500000X
Additional Specialty
Speech-Language Pathologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.