Amanda Breitenbach

Speech-Language Pathologist · Lacey, WA

Individual Active NPI

NPI number 1205449717

Practice location

3231 Willamette Dr NE Ste C
Lacey, WA 98516-1378
Phone
(844) 452-1758

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NPI record

NPI
1205449717
Entity type
Individual (Type 1)
Enumeration date
August 25, 2020
Last updated
July 9, 2025
Certified
July 9, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SI61076397 WA
Speech-Language Pathologist 235Z00000X 61213054 WA

Mailing address

1716 Elizabeth St SE
Olympia, WA 98501-2711
Phone
(248) 249-4787

About Amanda Breitenbach

Amanda Breitenbach is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 3231 Willamette Dr NE Ste C, Lacey, WA 98516-1378. The NPI number 1205449717 was assigned on August 25, 2020 and the record was last updated on July 9, 2025.

Amanda Breitenbach lists 2 licenses in the registry: #SI61076397 (WA) for Speech-Language Pathologist; #61213054 (WA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Breitenbach?

The NPI number is 1205449717.

What is the phone number of Amanda Breitenbach?

The phone number listed for the practice location is (844) 452-1758.

Where is Amanda Breitenbach located?

3231 Willamette Dr NE Ste C, Lacey, WA 98516-1378.

What is the taxonomy code for Amanda Breitenbach?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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