NPI 1063188084 · live from the CMS NPI Registry
Kelley Breheny, M.S., CCC-SLP
Speech-Language Pathologist, in Elkton, MD. National Provider Identifier 1063188084, active.
NPI record
| NPI | 1063188084 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 201 Booth St, Elkton, MD 21921 |
| Practice phone | 540-099-6410 |
| Mailing address | 911 Cedartree Ln Apt 10, Claymont, DE 19703 |
| Enumerated | August 19, 2021 |
| Last updated | August 19, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 09836 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.