Alyssa Marie Legnetti, M.A. SLP

Individual provider Active NPI Speech-Language Pathologist · Jamison, PA

NPI 1457700775 · NPPES record last updated Jun 7, 2016

Key facts

NPI
1457700775
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
1711 Foxwood Dr
Jamison, PA 18929-1679
Phone
(347) 409-3215
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

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
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20191024002091 NY Practitioner - Qualified Speech Language Pathologist 6709118748 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Young Adult Institute, Inc. Current
since Sep 1, 2019
Accepting new patients

Locations

3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790

460 W 34th St
Fl 11
New York, NY 10001
Phone (212) 273-6515

220 E 42nd St
Fl 8
New York, NY 10017
Phone (212) 273-2761

Specialties & licenses

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

Addresses

Primary practice location

1711 Foxwood Dr
Jamison, PA 18929-1679

Mailing address

1711 Foxwood Dr
Jamison, PA 18929-1679
Phone (347) 409-3215

Other providers in Jamison, PA

All providers in Jamison, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.