| Doctor Name: | MRS. ALESA NICHOLE BERNAT |
| NPI Number: | 1043651391 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCC-SLP |
| License Number: | |
| Business Practice Address: | 25059 Woolworth St Carthage, NY - 136199597 |
| Business Phone Number: | 3154935000 |
| Business Fax Number: | 3154935091 |
| Mailing Address: | 25059 Woolworth St, CARTHAGE |
| State: | NY |
| Postal Code: | 136199597 |
| Phone Number: | 3154935000 |
| Fax Number: | 3154935091 |
| NPI Enumeration Date: | 07/16/2013 |
| NPI Last Update Date: | 08/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235500000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |