MRS. LISA BAZZANO BRADFORD MA CCC-SLP
NPI 1972711596
Speech-Language Pathologist in Atlanta, GA

Active since May 18, 2007
3462 ESSEX AVE, ATLANTA, GA 30339(678) 612-6023(770) 980-1293 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lisa Bazzano Bradford Ma Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA BAZZANO BRADFORD MA CCC-SLP (NPI 1972711596) is an individual speech-language pathologist provider in Atlanta, Georgia, licensed in Georgia (SLP003520) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1972711596
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. LISA BAZZANO BRADFORDCredential: MA CCC-SLP
Location Address3462 ESSEX AVEAtlanta, GA 30339-5752
Mailing Address3462 Essex AveAtlanta, GA 30339-5752 · (678) 612-6023 · Fax (770) 980-1293
Fax(770) 980-1293
Sole ProprietorYes
Enumeration DateMay 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1972711596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in GA · SLP003520
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3462 ESSEX AVE, Atlanta, GA 30339

Other Names 1

Former Name (1)Miss Lisa Jeanne Bazzano Ma Ccc-slp

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Bradford's NPI number?

The NPI number for Lisa Bradford is 1972711596. It was assigned to this individual provider in the NPPES registry on May 18, 2007. The provider is also known as Miss Lisa Jeanne Bazzano Ma Ccc-Slp.

Where is Lisa Bradford located?

Lisa Bradford practices at 3462 Essex Ave, Atlanta, GA 30339. The listed phone number is (678) 612-6023.

What is Lisa Bradford's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Lisa Bradford was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.