Carissa Kostan
Carissa Kostan is a Speech-Language Pathologist in Portage, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
130 Fowler LnPortage, PA 15946-7112
Phone: (814) 736-9890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X |
|---|
Record details
| NPI number | 1821466269 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 2, 2015 |
| Last updated in NPPES | September 2, 2015 |
| Mailing address | 130 Fowler Ln, Portage, PA 15946-7112 |
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