Individual
MIRANDA M BREEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
9216 NE 156TH AVE, VANCOUVER, WA 98682-3591
(360) 870-0858
Mailing address
9216 NE 156TH AVE, VANCOUVER, WA 98682-3591
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60323360
WA
Other
Enumeration date
01/18/2013
Last updated
10/14/2015
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