Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bradlee Jayde Mix, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1174175640

Bradlee Jayde Mix, MS, CCC-SLP is a Speech-Language Pathologist in Pottsville, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

300 Schuylkill Medical Plz
Pottsville, PA 17901-3668
Phone: (570) 621-9500
Fax: (570) 621-9510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 32-36 Central Ave, Wellsboro, PA 16901-1899 — (570) 723-0120

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SL014647 (PA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence PSL000361 (PA)

Record details

NPI number1174175640
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESMay 18, 2020
Certification dateMay 18, 2020

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