Provider Demographics
NPI:1093714479
Name:DALESSANDRO, JOAN E (AUD)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:E
Last Name:DALESSANDRO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 S VALLEY RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1450
Mailing Address - Country:US
Mailing Address - Phone:610-296-5857
Mailing Address - Fax:610-296-2045
Practice Address - Street 1:30 S VALLEY RD
Practice Address - Street 2:SUITE 208
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1450
Practice Address - Country:US
Practice Address - Phone:610-296-5857
Practice Address - Fax:610-296-2045
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000351L231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
55613OtherAETNA US HEALTHCARE
206681OtherBLUE SHIELD INDIVIDUAL
50002000OtherCAPITAL BLUE CROSS
P1089334OtherOXFORD HEALTH PLAN
04215OtherHEAR USA
PA0737289000OtherKEYSTONE HEALTH PLAN EAST
A-103960OtherMULTIPLAN
0737289000OtherAMERIHEALTH
232877680003OtherCIGNA
P00095443OtherRAILROAD MEDICARE
PA0001537272Medicaid
PA3000109OtherKEYSTONEHEALTHPLANCENTRAL
PA1160080OtherKEYSTONE MERCY
AD187563OtherBLUE SHIELD GROUP NUMBER
PA0001537272Medicaid
PA3000109OtherKEYSTONEHEALTHPLANCENTRAL