Individual
SARA PIRE BREITBARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 174-7574
(608) 417-5936
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-7574
(608) 417-5936
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3274
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3274-154
SPEECH LANGUAGE PATHOLOGIST
WI
Enumeration date
08/14/2009
Last updated
02/21/2024
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