Individual
NICOLE BREEDLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
12656 SULLIVAN RD, BATON ROUGE, LA 70818-2321
(225) 261-2237
Mailing address
14555 GREENWELL SPG PT HUDSO RD, PRIDE, LA 70770-9759
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5985
LA
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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