Most Relevant Information
Provider Data
| NPI Number: | 1003285586 |
| Provider Name: | BREANNA WHITE |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 5812 |
Most Important Dates
| Enumeration Date: | 09/15/2015 |
| Last Updated: | 09/15/2015 |
Provider Practice Location
9500 MONTGOMERY BLVD NE STE 215
ALBUQUERQUE
NM
871112579
Practice Location Phone/Fax
| Phone: | 5052474224 |
| Fax: |
Provider Mailing Location
4801 IRVING BLVD NW UNIT 4803
ALBUQUERQUE
NM
87114
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |