Provider Demographics
NPI:1043651391
Name:BERNAT, ALESA NICHOLE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALESA
Middle Name:NICHOLE
Last Name:BERNAT
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:ALESA
Other - Middle Name:NICHOLE
Other - Last Name:LEHNHARDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3625 OBRIEN ROAD
Mailing Address - Street 2:
Mailing Address - City:LOWVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13367
Mailing Address - Country:US
Mailing Address - Phone:315-771-2493
Mailing Address - Fax:315-493-5091
Practice Address - Street 1:9508 ARTZ ROAD
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:NY
Practice Address - Zip Code:13305
Practice Address - Country:US
Practice Address - Phone:315-346-1211
Practice Address - Fax:315-493-5091
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023773-01235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist