Provider Demographics
NPI:1962378547
Name:BREECE, CALEB
Entity type:Individual
Prefix:
First Name:CALEB
Middle Name:
Last Name:BREECE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 10TH ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:NE
Mailing Address - Zip Code:68784-5014
Mailing Address - Country:US
Mailing Address - Phone:402-287-2061
Mailing Address - Fax:
Practice Address - Street 1:PO BOX KK
Practice Address - Street 2:
Practice Address - City:WINNEBAGO
Practice Address - State:NE
Practice Address - Zip Code:68071-0769
Practice Address - Country:US
Practice Address - Phone:402-878-2224
Practice Address - Fax:402-878-2932
Is Sole Proprietor?:No
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist