Christine Breeze

Individual provider Active NPI Speech-Language Pathologist · Okanogan, WA

NPI 1285050666 · NPPES record last updated Mar 10, 2014

Key facts

NPI
1285050666
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
LL 00001982 (WA)
Practice address
520 2ND Ave S
Okanogan, WA 98840-9665
Phone
(509) 422-3180
NPI assigned
Mar 10, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LL 00001982WAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL 00001982 WA Yes

Addresses

Primary practice location

520 2ND Ave S
Okanogan, WA 98840-9665

Mailing address

520 2ND Ave S
Okanogan, WA 98840-9665
Phone (509) 422-3180

Other providers in Okanogan, WA

All providers in Okanogan, WA · Speech-Language Pathologist in Washington

Sources for this page

Verify at the official NPI Registry.