Individual
ALYSSA CONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
1027 HOLIDAY HAVEN RD, SMITHVILLE, TN 37166-7506
(615) 812-3701
(800) 930-0036
Mailing address
1027 HOLIDAY HAVEN RD, SMITHVILLE, TN 37166-7506
(615) 812-3701
(800) 930-0036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4780
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4780
TENNESSEE HEALTH LICENSE
TN
Enumeration date
08/23/2013
Last updated
01/18/2019
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