- Practice location
- 1740 Delong RD, Cornwall, VT 05753-9350
- Phone
- 802-462-3755
- Fax
- —
- Last updated
- June 22, 2012
Alisa Breau is a Speech-Language Pathologist, based in Cornwall, VT. Alisa Breau practices in Cornwall, VT and has the professional credentials of SLP. The NPI Number for Alisa Breau is 1083977177 and holds a License No. 12075988 (VT). The current practice location address for Alisa Breau is 1740 Delong RD, Cornwall, VT 05753-9350 and can be reached out via phone at 802-462-3755.
Provider Profile Details
- NPI Number
- 1083977177
- Provider Name
- Alisa Breau
- Credential
- SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1740 Delong RD, Cornwall, VT 05753-9350
- Phone Number
- 802-462-3755
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 22, 2012
- Last Update Date
- June 22, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1740 Delong RD
Cornwall, VT 05753-9350 - City
- Cornwall
- State
- Vermont
- Zip
- 05753-9350
- Phone Number
- 802-462-3755
Provider Business Mailing Address Details
- Address
- 1740 Delong RD
Cornwall, VT 05753-9350 - City
- Cornwall
- State
- VT
- Zip
- 05753-9350
- Phone Number
- 802-462-3755
License Information
- License Number
- 12075988
- License State
- VT
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Cornwall, VT
View all Speech-Language Pathologist, providers in Cornwall →Frequently Asked Questions
What is the NPI number of Ms. Alisa Breau, SLP?
The NPI number of Ms. Alisa Breau, SLP is 1083977177. It was assigned on June 22, 2012 and is currently active in the NPPES registry.
What is the specialty of Ms. Alisa Breau, SLP?
Ms. Alisa Breau, SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in VT under license number 12075988.
Where does Ms. Alisa Breau, SLP practice?
The practice location is 1740 Delong RD, Cornwall, VT 05753-9350. The office can be reached at 802-462-3755 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083977177 directly on the NPPES registry website.