National Provider Identifier

Alicia M Eisenhart, MACCCSLP

Alicia M Eisenhart, MACCCSLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 377-2230.

NPI 1811153059Fairport, NYSpeech-Language Pathologist

Profile Overview

NPI
1811153059
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 06, 2008
Last Updated
August 06, 2008

Practice Location

  • 49 N Main St
  • Fairport, NY 14450-1543

Phone: (585) 377-2230

Mailing Address

  • 1579 Creek St
  • Rochester, NY 14625-1161

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1811153059
Entity Type
Individual
Last Name
Eisenhart
First Name
Alicia
Middle Name
M
Name Prefix
Mrs.
Credential
MACCCSLP
Mailing Street Address
1579 Creek St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-1161
Mailing Country
US
Mailing Phone
(585) 489-9430
Practice Street Address
49 N Main St
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1543
Practice Country
US
Practice Phone
(585) 377-2230
Enumeration Date
August 06, 2008
Last Updated
August 06, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)