Breanne Barry

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101002116 Issued in MI

Practice address

904 Drexel St
Dearborn, MI 48128-1641

Phone

(248) 755-8749

NPI assigned

Dec 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1669944450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 DREXEL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 DREXEL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281641",
            "telephone_number": "248-755-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "BREANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "710100216",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101002116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101002116",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salma Afif Baroudi
• Morgan Barr, LMSW
• Catherine Barrett, NP
• Kelly Barrett
• Mary Lynne Barringer, WHNP-BC
• Bartell Chiropractic Life Center PLLC
• Larry Anthony Bartell, D.C.
• Adrienna Bartnicki
• Randall James Bartoe, D.D.S.
• Christian L Bartoi, M.D.

• Speech-Language Pathologist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.