=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326981507
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALLYSSA NEHRENZ
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/13/2026
-----------------------------------------------------
Last Update Date | 04/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 213 HERMITAGE POINT DR
-----------------------------------------------------
City | HERMITAGE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37076-1681
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-742-1993
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 213 HERMITAGE POINT DR
-----------------------------------------------------
City | HERMITAGE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37076-1681
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 9231
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------