Provider Demographics
NPI:1396789137
Name:COGBURN, ALAHNA (MS/CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ALAHNA
Middle Name:
Last Name:COGBURN
Suffix:
Gender:F
Credentials:MS/CCC-SLP
Other - Prefix:MRS
Other - First Name:ALAHNA
Other - Middle Name:
Other - Last Name:ABDELSADEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS/CCC-SLP
Mailing Address - Street 1:10 HOPF DR
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-5229
Mailing Address - Country:US
Mailing Address - Phone:917-567-5602
Mailing Address - Fax:
Practice Address - Street 1:10 HOPF DR
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-5229
Practice Address - Country:US
Practice Address - Phone:917-567-5602
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012856-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist