| Doctor Name: | ALYSSA EMILY COSENTINO |
| NPI Number: | 1760622500 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SL009147 |
| Business Practice Address: | 1200 River Rd Conshohocken, PA - 194282442 |
| Business Phone Number: | 2154832461 |
| Business Fax Number: | 2154834597 |
| Mailing Address: | 1200 River Rd, CONSHOHOCKEN |
| State: | PA |
| Postal Code: | 194282442 |
| Phone Number: | 2154832461 |
| Fax Number: | 2154834597 |
| NPI Enumeration Date: | 03/05/2009 |
| NPI Last Update Date: | 01/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 04/16/2010 |
| NPI Reactivation Date: | 05/17/2010 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL009147 |
| 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 |