Individual
BREANNA LYNN ZAHAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC- SLP TSSLD
Contact information
Practice address
228 WARD ST, MONTGOMERY, NY 12549-1270
(845) 293-5600
Mailing address
308 LAKE VUE DR, MONTGOMERY, NY 12549-2236
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
034596
NY
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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