Provider Demographics
NPI:1538463856
Name:HAYMAN, BREENA (MS CCC-SLP-COM)
Entity type:Individual
Prefix:MS
First Name:BREENA
Middle Name:
Last Name:HAYMAN
Suffix:
Gender:F
Credentials:MS CCC-SLP-COM
Other - Prefix:
Other - First Name:BREENA
Other - Middle Name:
Other - Last Name:HAYMAN-SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:187 CALLE MAGDALENA SUITE 110
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024
Mailing Address - Country:US
Mailing Address - Phone:858-414-4603
Mailing Address - Fax:760-944-4265
Practice Address - Street 1:187 CALLE MAGDALENA
Practice Address - Street 2:SUITE 110
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024
Practice Address - Country:US
Practice Address - Phone:858-414-4603
Practice Address - Fax:760-944-4265
Is Sole Proprietor?:No
Enumeration Date:2010-12-29
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11328235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist