Individual
CONSTANCE KOSSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
110 FORD BLDG, UNIVERSITY PARK, PA 16802-3000
(814) 863-2290
(814) 863-3759
Mailing address
110 FORD BLDG, UNIVERSITY PARK, PA 16802-3000
(814) 863-2290
(814) 863-3759
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL004459L
PA
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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