Individual
ALYSSA DANIELLE VANCOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
299 SYCAMORE LN, ISLANDIA, NY 11749-1586
(631) 348-5037
Mailing address
35 SUNBONNET LN, BELLPORT, NY 11713-1146
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
032955
NY
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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