Provider Demographics
NPI:1740951375
Name:ALSBROOKS, TONJA MICHELLE (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:TONJA
Middle Name:MICHELLE
Last Name:ALSBROOKS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:7804 MIRACLE LN
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-9224
Mailing Address - Country:US
Mailing Address - Phone:972-974-0767
Mailing Address - Fax:
Practice Address - Street 1:2602 S BELT LINE RD
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-5344
Practice Address - Country:US
Practice Address - Phone:972-522-6923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106681235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist