NPI | 1740603620 |
---|---|
Former Name | JEANNE LAUGHLIN BREITMAYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2012005129) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005489A) |
235Z00000X Speech-Language Pathologist, (Licence: CA 20101) | |
235Z00000X Speech-Language Pathologist, (Licence: MT 2635) | |
235Z00000X Speech-Language Pathologist, (Licence: TX 108115) | |
Enumeration Date | 2014-01-28 |
Last Update Date | 2014-01-28 |