Most Relevant Information
Provider Data
| NPI Number: | 1003198771 |
| Provider Name: | TONYA BRADFORD MS,CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 2542 |
Most Important Dates
| Enumeration Date: | 09/19/2011 |
| Last Updated: | 11/14/2013 |
Provider Practice Location
928 N YORK ST
SUITE 20
MUSKOGEE
OK
744033123
Practice Location Phone/Fax
| Phone: | 9189139109 |
| Fax: | 9189139112 |
Provider Mailing Location
928 N YORK ST
SUITE 20
MUSKOGEE
OK
744033123
Provider Mailing Phone/Fax
| Phone: | 9189139109 |
| Fax: | 9189139112 |