-- BREANNA L BACON -- MS CCC-SLP
Individual Provider (NPI-1)
Active
Speech-Language Pathologist,
Provider Information
- NPI Number
1649576497- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MS CCC-SLP
- Status
- Active
Contact & Location
- Address
- 80 PROFESSIONAL CT, LAFAYETTE, IN, 479055152
- Phone
- (765) 448-1758
- Fax
- (765) 448-3898
Specialties & Taxonomies
Speech-Language Pathologist,
Primary License: IN #46002126A