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Deactivated NPI 1508462805 Deactivated / Inactive NPI Female Practitioner

Breanne Francine Koelliker , MS, CF-SLP

Speech-Language Pathologist • Barberton, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Breanne Koelliker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 10, 2020
NPI Deactivation Date March 07, 2022
Total Practice Duration ~2 Years of Practice (2020 – 2022)

Professional Overview & Biography Verified Profile Summary

Breanne Koelliker, MS, CF-SLP was a registered Speech-Language Pathologist practicing in Barberton, OH. Throughout an active medical career spanning 2 years, Breanne Koelliker provided care at the practice location at 401 SNYDER AVE until profile deactivation on 2022-03-07.

Practice Location & Contact Primary Location

Practice Address

401 Snyder Ave

Barberton, OH 442034131

Telephone 2165440443
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Barberton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Barberton, OH (7718 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OH COND.20201574-SP

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Julianne Laughlin

Occupational Therapist

NPI 1114572419
Maureen Sweeney , OTR, L

Occupational Therapist

NPI 1588908099

Occupational Therapist Registered, L

Angel Thomas , OTR, L

Occupational Therapist

NPI 1669934071

Occupational Therapist Registered, L

Jessica Hatfield

Physical Therapy Assistant

NPI 1851917124

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 07, 2022

Record deactivated on March 07, 2022

NPI Profile Active December 10, 2020

NPI status registered as active in NPPES database

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Updated Practice Location December 10, 2020

Registered at 401 SNYDER AVE, BARBERTON, OH 442034131 (Tel: 2165440443)

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Updated Business Mailing Address December 10, 2020

Registered at 3241 PARMALEE DR, SEVEN HILLS, OH 441314130 (Tel: 2165440443)

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Provider Name / Credentials Updated December 10, 2020

Recorded as BREANNE KOELLIKER, MS, CF-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2020

Speech-Language Pathologist (License #COND.20201574-SP in OH)

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Initial NPI Registration & Enumeration December 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508462805
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2020
Last Update: December 10, 2020
Deactivation Date: March 07, 2022

Mailing Address

3241 Parmalee Dr

Seven Hills, OH 441314130

Phone: 2165440443

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.