Provider Demographics
NPI:1659559128
Name:COSEGLIA, THERESA KATHRYN (MS CCCA)
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:KATHRYN
Last Name:COSEGLIA
Suffix:
Gender:F
Credentials:MS CCCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2870 HEMPSTEAD TURNPIKE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1341
Mailing Address - Country:US
Mailing Address - Phone:516-731-6644
Mailing Address - Fax:516-731-8746
Practice Address - Street 1:2870 HEMPSTEAD TURNPIKE
Practice Address - Street 2:SUITE 203
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1341
Practice Address - Country:US
Practice Address - Phone:516-731-6644
Practice Address - Fax:516-731-8746
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002040231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist