Kostan, Carissa

Kostan, Carissa is an sole proprietor health care provider with primary practice located at 130 Fowler Ln , Portage PA 15946-7112. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Kostan, Carissa can be contacted via phone (814) 736-9890.

Contact Information

Primary practice address
130 Fowler Ln Portage PA 15946-7112
Phone: (814) 736-9890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1821466269
LBN Legal business name Kostan, Carissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2015
Last updated Sep 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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