Carissa Kostan
NPI #1821466269 in Portage, Pennsylvania
Provider Information
- NPI Number
- 1821466269
- Entity Type
- Individual
- Name
- Carissa Kostan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Sep 2, 2015
- Last Updated
- Sep 2, 2015
Practice Location
- Address
- 130 FOWLER LN
- City
- Portage
- State
- Pennsylvania
- ZIP Code
- 15946-7112
- Phone
- (814) 736-9890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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