Provider Demographics
NPI:1750272308
Name:BRESTEL, AMBER MARIE (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:MARIE
Last Name:BRESTEL
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:MARIE
Other - Last Name:TROY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6120 CENTURY AVE APT 106
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-1853
Mailing Address - Country:US
Mailing Address - Phone:520-250-1832
Mailing Address - Fax:
Practice Address - Street 1:7818 BIG SKY DR UNIT 1017818
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-3524
Practice Address - Country:US
Practice Address - Phone:608-820-1180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6844-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist