Individual
ALYSSA EMILY COSENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 ROUTE 36, LEONARDO, NJ 07737
(732) 639-1551
Mailing address
25 SOUTHALL LN, RED BANK, NJ 07701-5761
(201) 321-0695
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009147
PA
Other
Enumeration date
03/05/2009
Last updated
06/15/2018
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