Calkins, Breanna Victoria

Calkins, Breanna Victoria is an sole proprietor health care provider with primary practice located at 660 Hazen Rd , Deland FL 32720-2603. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Speech, Language and Hearing Service Providers / Speech-Language Assistant. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Calkins, Breanna Victoria can be contacted via phone (386) 490-6768.

Contact Information

Primary practice address
660 Hazen Rd Deland FL 32720-2603
Phone: (386) 490-6768
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA16635 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SZ8379 Florida
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SI3352 Florida

Profile Details

NPI number 1689199796
LBN Legal business name Calkins, Breanna Victoria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2017
Last updated Jan 21st, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689199796 NPPES
Florida MEDICAID 22570900

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