Individual
MRS. BREANNA VICTORIA CALKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
660 HAZEN RD, DELAND, FL 32720-2603
(386) 490-6768
Mailing address
660 HAZEN RD, DELAND, FL 32720-2603
(386) 490-6768
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI3352
FL
235Z00000X
Speech-Language Pathologist
SA16635
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ8379
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22570900
—
FL
Enumeration date
08/09/2017
Last updated
01/21/2023
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