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NPI Code Detail

MEDICARE: BREANNA WEBSTER

MEDICARE:   BREANNA  WEBSTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP.0006222CO

General Provider Information

NPI Number : 1992576755
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREANNA WEBSTER
Provider Business Mailing Address
First Line : 2140 HOLLOW BROOK DR STE 100
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-1489
Country : US
Telephone Number : 719-301-0218
Fax Number : 719-931-5579
Provider Business Practice Location Address
First Line : 2140 HOLLOW BROOK DR STE 100
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-1489
Country : US
Telephone Number : 719-301-0218
Fax Number : 719-931-5579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2024
Last Update Date : 11/20/2025

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Directions to “ BREANNA WEBSTER ” Practice Location

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