Healthcare Provider Details

I. General information

NPI: 1720900137
Provider Name (Legal Business Name): CHLOE ROSE BRETOI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15116 N COTTON LN
SURPRISE AZ
85388-9618
US

IV. Provider business mailing address

15116 N COTTON LN
SURPRISE AZ
85388-9618
US

V. Phone/Fax

Practice location:
  • Phone: 623-322-8250
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: