Provider Demographics
NPI:1548506181
Name:BREEDING, ALBERT (MA, CCC-A)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:
Last Name:BREEDING
Suffix:
Gender:M
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:569 SPRINGFIELD ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:FEEDING HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:01030-2105
Mailing Address - Country:US
Mailing Address - Phone:413-786-3688
Mailing Address - Fax:
Practice Address - Street 1:569 SPRINGFIELD ST
Practice Address - Street 2:SUITE A
Practice Address - City:FEEDING HILLS
Practice Address - State:MA
Practice Address - Zip Code:01030-2105
Practice Address - Country:US
Practice Address - Phone:413-786-3688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-01
Last Update Date:2013-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA26231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist