Kristina Alsenas, MA.CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Cleveland, OH

NPI 1104241207 · NPPES record last updated Feb 26, 2014

Key facts

NPI
1104241207
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP5158 (OH)
Practice address
1440 Lakeside Ave E
Cleveland, OH 44114-1137
Phone
(216) 592-7236
Fax
(216) 592-7239
NPI assigned
Feb 26, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SP5158OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Metropolitan School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP5158 OH Yes

Addresses

Primary practice location

1440 Lakeside Ave E
Cleveland, OH 44114-1137

Mailing address

1440 Lakeside Ave E
Cleveland, OH 44114-1137
Phone (216) 592-7236

Other providers in Cleveland, OH

All providers in Cleveland, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.