Provider Demographics
NPI:1689980716
Name:BREYCHER, ANGELIKA
Entity Type:Individual
Prefix:MS
First Name:ANGELIKA
Middle Name:
Last Name:BREYCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 NEPTUNE AVE APT 21B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-4057
Mailing Address - Country:US
Mailing Address - Phone:718-996-0338
Mailing Address - Fax:
Practice Address - Street 1:415 BEVERLEY RD
Practice Address - Street 2:UNIT LT
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3153
Practice Address - Country:US
Practice Address - Phone:718-972-6561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1789593235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist