Individual
ASHLEY BROOKE BRETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 ACE CT, WEST ISLIP, NY 11795-2002
(631) 748-6232
Mailing address
186 DRIFTWOOD DR, WEST ISLIP, NY 11795-5002
(631) 748-6232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021174-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3848666
—
NY
Enumeration date
01/16/2012
Last updated
05/11/2021
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