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General NPI Number Information
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NPI Number | 1700744943
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Entity Type | Individual
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Provider Name | KATHERINE FRANCES BRADLEY MA, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1201 N 28TH ST
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City | SUPERIOR
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State | WI
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Zip | 54880-5131
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Country | US
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Telephone | 715-395-6066
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 N 28TH ST
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City | SUPERIOR
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State | WI
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Zip | 54880-5131
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Country | US
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Telephone | 715-395-6066
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 8336
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 831647
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License Number State | WI
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