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

TAYLOR NICHOLE TIDMORE, MCD CCC-SLP

Active

TAYLOR NICHOLE TIDMORE, MCD CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in MAYLENE, Alabama. NPI 1821656729 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · MAYLENE, AL

Registration Details

NPI Number
1821656729
Provider Type
Individual
Gender
Female
NPI Issued
Jun 5, 2019 (7.1519401077659 yrs)
Last Updated
Aug 22, 2024
License
4341 (AL)

Practice Information

Address
109 LANE PARK DR
MAYLENE, AL, 351146085
Browse AL providers · Browse ZIP 35114
Phone
2055471652
Fax
2056510134
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in MAYLENE, AL

Name Credential NPI
JESSICA EMMONS GARZAREK MA, CCC-SLP 1669967394
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.