Individual
CAROLINE BOYD BREEDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6965 SAN LUIS AVE, ATASCADERO, CA 93422-5201
(805) 591-7188
Mailing address
4536 S CREST OAK CIR, SALT LAKE CITY, UT 84124-3825
(801) 915-7342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30663
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14285661
AMERICAN SPEECH AND HEARING ASSOCIATION (ASHA)
—
01
—
30663
CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS /SPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY
CA
Enumeration date
08/13/2019
Last updated
09/16/2020
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