Breazeale, Kaitlyn Marie

Breazeale, Kaitlyn Marie is an sole proprietor health care provider with primary practice located at 2011 Road 76 , Pasco WA 99301-1871. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Breazeale, Kaitlyn Marie can be contacted via phone (509) 492-8883.

Contact Information

Primary practice address
2011 Road 76 Pasco WA 99301-1871
Phone: (509) 492-8883
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SP60602011 Washington
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 60933272 Washington

Profile Details

NPI number 1326406620
LBN Legal business name Breazeale, Kaitlyn Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2016
Last updated Feb 27th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326406620 NPPES
Washington MEDICAID 60933272

Popular Providers