Doctor Name: | AMY BREAUX |
NPI Number: | 1851711923 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 104835 |
Business Practice Address: | 755 S 11th St Ste #270 Beaumont, TX - 777013732 |
Business Phone Number: | 4098350228 |
Business Fax Number: | |
Mailing Address: | 755 S 11th St, Ste #270 BEAUMONT |
State: | TX |
Postal Code: | 777013732 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/16/2014 |
NPI Last Update Date: | 04/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 104835 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |