Individual
ELIZABETH BREEDLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. A., CCC-SLP
Contact information
Practice address
1086 JENKINS BRANCH LN, MOUNT ULLA, NC 28125-8699
(704) 798-4879
Mailing address
1086 JENKINS BRANCH LN, MOUNT ULLA, NC 28125-8699
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9005
NC
Other
Enumeration date
09/09/2010
Last updated
01/01/2017
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