Most Relevant Information
Provider Data
| NPI Number: | 1003532540 |
| Provider Name: | BREANNA ELIZABETH SERDAHL |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/17/2022 |
| Last Updated: | 10/17/2022 |
Provider Practice Location
33330 8TH AVE S
FEDERAL WAY
WA
98003
Practice Location Phone/Fax
| Phone: | 2539452810 |
| Fax: |
Provider Mailing Location
2505 EAST MAIN APT H-104
PUYALLUP
WA
98372
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |