Brooke Richardson, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

25754 Issued in CA

Practice address

763 Silverado Dr
Manteca, CA 95337-6651

Phone

(209) 858-7200

NPI assigned

Jun 25, 2018

Last updated

Jun 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1245725043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 COVEY CREEK CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 SILVERADO DR",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953376651",
            "telephone_number": "209-858-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "BROOKE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "25754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montserrat Reteguin
• Tanya Reyes, LMFT
• Wendy Reyes
• Emily Reyna Vaca
• Connie Renee Rhodes, BS, CADC II
• Mary Jean Richmond, D.D.S.
• Rick Van Tran (Manteca Dental Care)
• Rick Van Tran, DDS, Inc (Manteca Dental Care)
• Esmeralda Rico
• Ashley Renee Rieger, DBH, LMFT

• Speech-Language Pathologist in Manteca, CA
• Providers in Manteca, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.