Ms Alisa Breau, SLP is a
Speech-language Pathologist based in Cornwall, Vermont. Ms Alisa Breau is licensed to practice in Vermont (license number 12075988) and her current practice location is
1740 Delong Rd, Cornwall, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 462-3755.
NPI number for Ms Alisa Breau is 1083977177 and her current mailing address is 1740 Delong Rd, Cornwall, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083977177.
Healthcare Provider's Profile
| Full Name | Ms Alisa Breau |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 1740 Delong Rd, Cornwall, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083977177
- Provider Enumeration Date: 06/22/2012
- Last Update Date: 06/22/2012
Medical Identifiers
Medical identifiers for Ms Alisa Breau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083977177 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 12075988 (Vermont) | 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. Ms Alisa Breau 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 |
|---|
Ms Alisa Breau, SLP
1740 Delong Rd,
Cornwall, VT 05753-9350
Ph: (802) 462-3755 | Ms Alisa Breau, SLP
1740 Delong Rd,
Cornwall, VT 05753-9350
Ph: (802) 462-3755 |
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