Provider Demographics
NPI:1104662014
Name:BRADLEY, HANNAH JOAN (AUD)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:JOAN
Last Name:BRADLEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 ALEK CT
Mailing Address - Street 2:
Mailing Address - City:NORTH MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56003-1554
Mailing Address - Country:US
Mailing Address - Phone:507-327-6519
Mailing Address - Fax:
Practice Address - Street 1:21 ALEK CT
Practice Address - Street 2:
Practice Address - City:NORTH MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56003-1554
Practice Address - Country:US
Practice Address - Phone:507-327-6519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist