Provider Demographics
NPI:1295533032
Name:SONGER, ALEAH MARIE
Entity type:Individual
Prefix:
First Name:ALEAH
Middle Name:MARIE
Last Name:SONGER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ALEAH
Other - Middle Name:MARIE
Other - Last Name:KARSONOVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1034 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-2945
Mailing Address - Country:US
Mailing Address - Phone:330-534-5000
Mailing Address - Fax:330-568-4264
Practice Address - Street 1:880 W LIBERTY ST STE 102
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OH
Practice Address - Zip Code:44425-1753
Practice Address - Country:US
Practice Address - Phone:330-534-5000
Practice Address - Fax:330-568-4264
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC011366225X00000X
OHOT007334225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist