Nicole Breedlove, M.S., CCC-SLP
Speech-Language Pathologist, in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1760107155
StatusActive
Last updated in NPPESOct 7, 2022
Details
- NPI
- 1760107155
- Entity type
- Individual (NPI-1)
- Name
- Nicole Breedlove
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2022
- Certification date
- Oct 7, 2022
- Last updated
- Oct 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 5985 | LA | Yes |
Practice location
12656 Sullivan RdBaton Rouge, LA 70818-2321
Phone 225-261-2237
Mailing address
14555 Greenwell Spg Pt Hudso RdPride, LA 70770-9759
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