Breanna Suzanne Fort, MA, CCC-SLP is a
Speech-language Pathologist based in Lahaina, Hawaii. Breanna Suzanne Fort is licensed to practice in Delaware (license number O1-0001777) and her current practice location is
100 Akahele St, Lahaina, Hawaii. She can be reached at her office (for appointments etc.) via phone at
(808) 662-3955.
NPI number for Breanna Suzanne Fort is 1427609569 and her current mailing address is 3626 Lower Honoapiilani Rd Apt C302, Lahaina, Hawaii. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427609569.
Healthcare Provider's Profile
Full Name | Breanna Suzanne Fort |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 100 Akahele St, Lahaina, Hawaii |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427609569
- Provider Enumeration Date: 09/20/2019
- Last Update Date: 07/07/2024
Medical Identifiers
Medical identifiers for Breanna Suzanne Fort such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427609569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | O1-0001777 (Delaware) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Breanna Suzanne Fort is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Breanna Suzanne Fort, MA, CCC-SLP 3626 Lower Honoapiilani Rd Apt C302, Lahaina, HI 96761-8992 Ph: (610) 716-7009 | Breanna Suzanne Fort, MA, CCC-SLP 100 Akahele St, Lahaina, HI 96761-9395 Ph: (808) 662-3955 |
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