National Provider Identifier
Beatrice Monette Fortson, SLP
Beatrice Monette Fortson, SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Tonawanda, NY and a listed phone number of (716) 833-4884.
Profile Overview
- NPI
- 1104056795
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- July 17, 2009
- Last Updated
- July 17, 2009
Practice Location
- 2545 Sheridan Dr
- Tonawanda, NY 14150-9478
Phone: (716) 833-4884
Mailing Address
- 94 Aegean Avenue
- Amherst, NY 14228
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1104056795
- Entity Type
- Individual
- Last Name
- Fortson
- First Name
- Beatrice
- Middle Name
- Monette
- Name Prefix
- Mrs.
- Credential
- SLP
- Mailing Street Address
- 94 Aegean Avenue
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14228
- Mailing Country
- US
- Mailing Phone
- (716) 525-1439
- Practice Street Address
- 2545 Sheridan Dr
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-9478
- Practice Country
- US
- Practice Phone
- (716) 833-4884
- Enumeration Date
- July 17, 2009
- Last Updated
- July 17, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 015190 (NY, New York State License)