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

Mrs. Lisa Bazzano Bradford, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1972711596

Mrs. Lisa Bazzano Bradford, MACCC-SLP is a Speech-Language Pathologist in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

3462 Essex Ave
Atlanta, GA 30339-5752
Phone: (678) 612-6023
Fax: (770) 980-1293
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP003520 (GA)

Record details

NPI number1972711596
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedMay 18, 2007
Last updated in NPPESJuly 8, 2007

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