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Breanna L Bacon, MSCCC-SLP
Speech-Language Pathologist in Lafayette, Indiana
NPI 1649576497

Breanna L Bacon is a Speech-Language Pathologist based in Lafayette, IN. Breanna L Bacon practices in Lafayette, IN and has the professional credentials of MSCCC-SLP. The NPI Number for Breanna L Bacon is 1649576497 and holds a License No. 46002126A (Indiana).

The current practice location address for Breanna L Bacon is 80 Professional Ct, Lafayette, IN and can be reached out via phone at 765-448-1758 and via fax at 765-448-3898.

Location: 80 Professional Ct, Lafayette, IN, 47905-5152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649576497
Provider Name
Breanna L Bacon
Credential
MSCCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
80 Professional Ct, Lafayette, IN, 47905-5152
Phone Number
765-448-1758
Fax Number
765-448-3898
Provider Enumeration Date
01/26/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2205442A 01 IN INDIANA PROFESSIONAL LICENSING AGENCY
46002126A 01 IN IN CF LICENSE
institution
Provider Business Practice Location Address Details
Address
80 Professional Ct
City
Lafayette
State
Indiana
Zip
47905-5152
Phone Number
765-448-1758
Fax Number
765-448-3898
person
Provider Business Mailing Address Details
Address
80 Professional Ct
City
Lafayette
State
Indiana
Zip
47905-5152
Phone Number
765-448-1758
Fax Number
765-448-3898
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
46002126A (Indiana)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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