Individual
ALISON BONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 WINTER GARDEN VINELAND RD STE 112, WINTER GARDEN, FL 34787-4449
(407) 877-0029
Mailing address
8356 IRON MOUNTAIN TRL, WINDERMERE, FL 34786-9486
(914) 841-5051
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16163
SPEECH LANGUAGE PATHOLOGIST
FL
Enumeration date
05/07/2018
Last updated
07/16/2026
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