Provider Demographics
NPI:1932789450
Name:BREUER, DEVORAH SHAW (SLP, OSC)
Entity type:Individual
Prefix:
First Name:DEVORAH
Middle Name:SHAW
Last Name:BREUER
Suffix:
Gender:F
Credentials:SLP, OSC
Other - Prefix:
Other - First Name:DEVORAH
Other - Middle Name:
Other - Last Name:SHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP, OSC
Mailing Address - Street 1:58 E CONCORD DR
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1719
Mailing Address - Country:US
Mailing Address - Phone:802-962-2175
Mailing Address - Fax:
Practice Address - Street 1:58 E CONCORD DR
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1719
Practice Address - Country:US
Practice Address - Phone:802-962-2175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist