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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAURA TIDENBERG, MS CCC SLP

Active Sole Proprietor

LAURA TIDENBERG, MS CCC SLP is a Speech, Language and Hearing Specialist healthcare provider located in MIDWEST CITY, Oklahoma. NPI 1154875029 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · MIDWEST CITY, OK

Registration Details

NPI Number
1154875029
Provider Type
Individual
Gender
Female
NPI Issued
Aug 9, 2016 (9.990280037858 yrs)
Last Updated
Aug 9, 2016
License
4607 (OK)
Sole Proprietor
Yes

Practice Information

Address
801 FAIRLANE DR
MIDWEST CITY, OK, 731101629
Browse OK providers · Browse ZIP 73110
Phone
9188399852
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in MIDWEST CITY, OK

Name Credential NPI
MINDY DAWN PHAM CCC-SLP 1649377292
JEANNINE CROUCH 1275625121
MS. MARELLA KAY MIZE M.ED., CCC-SLP/L 1659527323
MS. VANESSA DAWN SMITH M.S. CCC-SLP 1013232933
MRS. ANGELA TERESSA FAY SLP 1780901017
ERIN JARVIS M.A. CCC-SLP 1215228424
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.