Doctor Name: | JENNA D'ALESSANDRO |
NPI Number: | 1356769905 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SL011477 |
Business Practice Address: | 44 Clark Ave Carbondale, PA - 184071657 |
Business Phone Number: | 2672291378 |
Business Fax Number: | |
Mailing Address: | 44 Clark Ave, CARBONDALE |
State: | PA |
Postal Code: | 184071657 |
Phone Number: | 2672291378 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2014 |
NPI Last Update Date: | 04/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL011477 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |