Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Holly Bradtmueller, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1609492891

Holly Bradtmueller, MSCCC-SLP is a Qualified Speech Language Pathologist in Fort Wayne, Indiana. Qualified in 2022, 4 years ago. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2020
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Practice location Address checks out

1400 Medical Park Dr
Fort Wayne, IN 46825-5832
Phone: (260) 740-4358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 22008595A (IN)

Record details

NPI number1609492891
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJune 23, 2020
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address828 W Hamilton Rd, Fort Wayne, IN 46819-9756

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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