Healthcare Provider Details

I. General information

NPI: 1962400036
Provider Name (Legal Business Name): JULIE PERRY BRETON AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 BELMONT ST STE 1
SOUTH EASTON MA
02375-1909
US

IV. Provider business mailing address

111 BELMONT ST STE 1
SOUTH EASTON MA
02375-1909
US

V. Phone/Fax

Practice location:
  • Phone: 508-297-2444
  • Fax: 508-297-1302
Mailing address:
  • Phone: 508-297-2444
  • Fax: 508-297-1302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number160
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: