Individual
ALAINA GRISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6172 AIRWAYS BLVD STE 122, CHATTANOOGA, TN 37421-2915
(423) 622-1551
(877) 856-7133
Mailing address
PO BOX 8114, CHATTANOOGA, TN 37414-0114
(423) 622-1551
(877) 856-7133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6641
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6641
HEALTH LICENSE REGISTRATION
TN
Enumeration date
05/28/2019
Last updated
08/02/2021
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