Doctor Name: | BETH ANNE TIDD |
NPI Number: | 1407081227 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SP.4718 |
Business Practice Address: | 840 Lee Rd Follansbee, WV - 260371783 |
Business Phone Number: | 3045271100 |
Business Fax Number: | |
Mailing Address: | 488 Valley St, MC DONALD |
State: | PA |
Postal Code: | 150571030 |
Phone Number: | 7249262230 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2009 |
NPI Last Update Date: | 05/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP.4718 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |