Individual
ALYSSA TERSIGNI-TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2630 W 13TH ST, ASHTABULA, OH 44004-2405
(440) 576-9023
Mailing address
6433 S RIDGE RD W, GENEVA, OH 44041-8378
(440) 474-3781
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND.20191265-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP.14590
OH
Other
Enumeration date
12/17/2019
Last updated
08/26/2022
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