Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNA GRACE TIDMORE
Active Sole ProprietorANNA GRACE TIDMORE is a Speech, Language and Hearing Specialist healthcare provider located in SOUTHAVEN, Mississippi. NPI 1407682362 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1407682362
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2024 (1.9321896045216 yrs)
- Last Updated
- Sep 9, 2024
- License
-
S5240 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5960 GETWELL RD STE 212DSOUTHAVEN, MS, 386727320Browse MS providers · Browse ZIP 38672
- Phone
- 6622280130
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in SOUTHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. KABY PLITT | MS CCC SLP | 1336270602 |
| CHERYL JORDAN | MS CCC-SLP | 1245361690 |
| MS. LESLIE JEAN HAMMOND | MS CCC-SLP | 1841321270 |
| MRS. COURTNEY SCOTT BAUER | MA, CCC-SLP | 1306962600 |
| MIA JAQUAY KIMMONS | M.S. CCC-SLP | 1922286863 |
| MS. KESHELL ANTRON GRAY | M.S., CCC-SLP | 1306081914 |
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.