Alyssa Jan Cohen, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Cross River, NY

NPI 1154574952 · NPPES record last updated Feb 12, 2021

Key facts

NPI
1154574952
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
012028 (NY)
Practice address
57 Winterberry Cir
Cross River, NY 10518-1311
Phone
(914) 924-2704
NPI assigned
Oct 24, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
012028NYMDMental Health Counselor
003977CTMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 003977 CT
Speech-Language Pathologist 235Z00000X 012028 NY Yes

Addresses

Primary practice location

57 Winterberry Cir
Cross River, NY 10518-1311

Mailing address

57 Winterberry Cir
Cross River, NY 10518-1311
Phone (914) 924-2704

Other names

  • Ms. Alyssa Jan Goldman Former name

Other providers in Cross River, NY

All providers in Cross River, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.