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BREANNA L BACON MS CCC-SLP
NPI 1649576497
Speech-Language Pathologist in Lafayette, IN

Active since January 26, 2011
80 PROFESSIONAL CT, LAFAYETTE, IN 47905(765) 448-1758(765) 448-3898 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Breanna L Bacon Ms Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA L BACON MS CCC-SLP (NPI 1649576497) is an individual speech-language pathologist provider in Lafayette, Indiana, licensed in Indiana (46002126A) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1649576497
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameBREANNA L BACONCredential: MS CCC-SLP
Location Address80 PROFESSIONAL CTLafayette, IN 47905-5152
Mailing Address80 Professional CtLafayette, IN 47905-5152 · (765) 448-1758 · Fax (765) 448-3898
Phone(765) 448-1758
Fax(765) 448-3898
Sole ProprietorNo
Enumeration DateJanuary 26, 2011
Last NPPES UpdateJuly 7, 2014
✔ NPI 1649576497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in IN · 46002126A
Definition
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.
80 PROFESSIONAL CT, Lafayette, IN 47905
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Other Identifiers 2

Other2205442AIN · Indiana Professional Licensing Agency
Other46002126AIN · In Cf License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAIRAH STAR DELANEY BCBA
Behavior Analyst
80 PROFESSIONAL CT
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-1758
BINDI BAKER
Behavior Technician
80 PROFESSIONAL CT
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-1758
ELIZABETH MERCIER
Behavior Technician
80 PROFESSIONAL CT
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-1758
KATELYNN LINEDECKER
Behavior Technician
80 PROFESSIONAL CT
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-1758
COURTNEY HORVATH
Behavior Technician
80 PROFESSIONAL CT
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-1758
MENDY ANN MCCLAIN
Developmental Therapist
80 PROFESSIONAL CT
LAFAYETTE, IN 47905
Tippecanoe County (317) 374-0192
ANNA-BETH HAAS
Behavior Technician
80 PROFESSIONAL CT
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-1758
REBECCA LYNN PITT
Developmental Therapist
80 PROFESSIONAL CT
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-1758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Bacon's NPI number?

The NPI number for Breanna Bacon is 1649576497. It was assigned to this individual provider in the NPPES registry on January 26, 2011.

Where is Breanna Bacon located?

Breanna Bacon practices at 80 Professional Ct, Lafayette, IN 47905. The listed phone number is (765) 448-1758.

What is Breanna Bacon's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Breanna Bacon was last updated on July 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.