Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURA BRADSHAW, MS/CCC-SLP
Active Sole ProprietorLAURA BRADSHAW, MS/CCC-SLP is a Pediatrics healthcare provider located in LAKE WYLIE, South Carolina. NPI 1538772017 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · LAKE WYLIE, SC
Registration Details
- NPI Number
- 1538772017
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 25, 2020 (5.9276830881727 yrs)
- Last Updated
- Aug 25, 2020
- License
-
6812 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
252 LATITUDE LN STE 103LAKE WYLIE, SC, 297108152Browse SC providers · Browse ZIP 29710
- Phone
- 8038180218
- Primary Specialty
-
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.