Individual
MRS. ALICIA M EISENHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
49 N MAIN ST, FAIRPORT, NY 14450-1543
(585) 377-2230
Mailing address
1579 CREEK ST, ROCHESTER, NY 14625-1161
(585) 489-9430
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016321
NY
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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