Most Relevant Information
Provider Data
| NPI Number: | 1003548884 |
| Provider Name: | KATHLEEN ALYSE MUSHENO MA, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SL011322 |
Most Important Dates
| Enumeration Date: | 06/29/2022 |
| Last Updated: | 06/29/2022 |
Provider Practice Location
2024 WOODLAND RD
MONTOURSVILLE
PA
177549210
Practice Location Phone/Fax
| Phone: | 5704196847 |
| Fax: |
Provider Mailing Location
2024 WOODLAND RD
MONTOURSVILLE
PA
177549210
Provider Mailing Phone/Fax
| Phone: | 5704196847 |
| Fax: |