MEDICARE: CYNTHA A BRADY SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP-1292	NV
2	235Z00000X	Speech-Language Pathologist	SLP1840	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SLP1840	OTHER	ID	IDAHO BUREAU OF OCCUPATIONAL LICENSES
2	SP-1292	OTHER	NV	BOARD OF EXAMINERS FOR AUDIOLOGY AND SPEECH PATHOLOGY

General Provider Information

NPI Number	:	1497999825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHA A BRADY SLP

Provider Business Mailing Address
First Line	:	2696 BEGONIA VALLEY AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-2877
Country	:	US
Telephone Number	:	702-527-8944
Fax Number	:	702-568-5030

Provider Business Practice Location Address
First Line	:	1820 E WARM SPRINGS RD
Second Line	:	SUITE 112
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4549
Country	:	US
Telephone Number	:	702-527-8944
Fax Number	:	702-586-5030

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2009
Last Update Date	:	05/26/2012

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Directions to “ CYNTHA A BRADY SLP” Practice Location

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