IndividualActive
Andrea Bradford, M.S. CCC-SLP
NPI 1306357173 · Speech-Language Pathologist · Fayetteville, WV
Provider details
- NPI number
- 1306357173
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SLP-1826 (WV)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Fayette Ave
Fayetteville, WV 25840-1219
Phone: (304) 574-1176
Approximate (ZIP-level) locationGet directions
Mailing address
404 Old Main Dr
Summersville, WV 26651-1360
Registry dates
- Enumerated
- 2017-10-19
- Last updated
- 2017-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.