Organization · Type 2 NPI
Bradley/cleveland Developmental Services
Speech/Language/Hearing Specialist/Technologist · Cleveland, TN
NPI number
1376647479
Active · reactivated May 3, 2023
Practice location
764 Old Chattanooga Pk SW
Cleveland, TN 37364-0007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech/Language/Hearing Specialist/Technologist Primary | 235500000X | MD0000020193 (TN) |
| Speech-Language Pathologist | 235Z00000X | 11041 (TN) |
| Speech-Language Pathologist | 235Z00000X | 012009 (TN) |
Speech/Language/Hearing Specialist/Technologist: General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
About NPI 1376647479
Bradley/cleveland Developmental Services's National Provider Identifier is 1376647479, issued on Sep 11, 2006. The primary taxonomy on file is Speech/Language/Hearing Specialist/Technologist (235500000X), and the practice location is in Cleveland, TN. The record was last updated on Sep 11, 2025.