Provider Demographics
NPI:1326171000
Name:CORRENTE, ALEESHA (HAD& SLP)
Entity Type:Individual
Prefix:
First Name:ALEESHA
Middle Name:
Last Name:CORRENTE
Suffix:
Gender:F
Credentials:HAD& SLP
Other - Prefix:
Other - First Name:ALEESHA
Other - Middle Name:
Other - Last Name:IACAMPO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9920 FRANKLIN SQUARE DR STE 150
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4971
Mailing Address - Country:US
Mailing Address - Phone:410-870-0251
Mailing Address - Fax:
Practice Address - Street 1:9920 FRANKLIN SQUARE DR STE 150
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-4971
Practice Address - Country:US
Practice Address - Phone:410-870-0251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00956231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist