Doctor Name: | MISS MICHELLE E BREEN |
NPI Number: | 1174797674 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 12003802 |
Business Practice Address: | 2490 Jenner Ct Colorado Springs, CO - 809193547 |
Business Phone Number: | 7194257771 |
Business Fax Number: | 3032230084 |
Mailing Address: | 2490 Jenner Ct, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809193547 |
Phone Number: | 7194257771 |
Fax Number: | 3032230084 |
NPI Enumeration Date: | 04/15/2008 |
NPI Last Update Date: | 01/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12003802 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |