Provider Demographics
NPI:1902331390
Name:ALUMBAUGH, TESSA ELIZABETH (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TESSA
Middle Name:ELIZABETH
Last Name:ALUMBAUGH
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 PHILADELPHIA
Mailing Address - Street 2:
Mailing Address - City:WEBB CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64870-1093
Mailing Address - Country:US
Mailing Address - Phone:405-269-2402
Mailing Address - Fax:
Practice Address - Street 1:1829 PHILADELPHIA
Practice Address - Street 2:
Practice Address - City:WEBB CITY
Practice Address - State:MO
Practice Address - Zip Code:64870-1093
Practice Address - Country:US
Practice Address - Phone:405-269-2402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-24
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020009578235Z00000X
SC5266235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist