Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHRYN TIDABACK, M.S. CCC-SLP
Active Sole ProprietorKATHRYN TIDABACK, M.S. CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in CAPITOLA, California. NPI 1821614934 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · CAPITOLA, CA
Registration Details
- NPI Number
- 1821614934
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2020 (6.0978146030936 yrs)
- Last Updated
- Jun 24, 2020
- License
-
27759 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
820 BAY AVE STE 212CAPITOLA, CA, 950102103Browse CA providers · Browse ZIP 95010
- Phone
- 8318542060
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in CAPITOLA, CA
| Name | Credential | NPI |
|---|---|---|
| ALEXA JOY CHRISTOS | CCC-SLP | 1659862332 |
| CRISTIENNE COLIP | SP | 1033600713 |
| NINA ROSE COONERTY | MA | 1336816404 |
| MS. MAGGIE JEANNE LONG | CF- SLP | 1760133839 |
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.