IndividualActive
Breanna Fort, M.A., CCC-SLP
NPI 1427609569 · Speech-Language Pathologist · Lahaina, HI
Provider details
- NPI number
- 1427609569
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.A., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- O1-0001777 (DE)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
100 Akahele St
Lahaina, HI 96761-9395
Phone: (808) 662-3955
Approximate (ZIP-level) locationGet directions
Mailing address
3626 Lower Honoapiilani Rd Apt C302
Lahaina, HI 96761-8992
Registry dates
- Enumerated
- 2019-09-20
- Last updated
- 2024-07-07
- Certified
- 2024-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.