Donna Coss, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Breesport, NY
NPI 1396162129 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1396162129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 013092-1
- Practice address
- 378 Bannister Rd
Breesport, NY 14816-9713 - Phone
- (607) 857-6933
- Fax
- (607) 739-6259
- NPI assigned
- Mar 18, 2014
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 013092-1 | Yes |
Addresses
Primary practice location
378 Bannister Rd
Breesport, NY 14816-9713
Mailing address
378 Bannister Rd
Breesport, NY 14816-9713
Phone (607) 857-6933
Other providers in Breesport, NY
All providers in Breesport, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.