Doctor Name: | MS. LISA BREAKEY |
NPI Number: | 1801942883 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | SP2343 |
Business Practice Address: | 950 S Bascom Ave Suite 1113 San Jose, CA - 951283536 |
Business Phone Number: | 4082979740 |
Business Fax Number: | 6504620960 |
Mailing Address: | 950 S Bascom Ave, Suite 1113 SAN JOSE |
State: | CA |
Postal Code: | 951283536 |
Phone Number: | 4082979740 |
Fax Number: | 6504620960 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP2343 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |