Provider Demographics
NPI:1528308624
Name:BRIEGEL, KATHARINE (SLP, BCBA)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:BRIEGEL
Suffix:
Gender:F
Credentials:SLP, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4825 TROUSDALE DR STE 216
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220-1307
Mailing Address - Country:US
Mailing Address - Phone:615-431-9776
Mailing Address - Fax:615-864-0678
Practice Address - Street 1:4825 TROUSDALE DR STE 216
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37220-1307
Practice Address - Country:US
Practice Address - Phone:615-431-9776
Practice Address - Fax:615-864-0678
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN346103K00000X
TN0000004588235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst