MRS. Freddy G Tisdale, MA CCCSLP
NPI #1023109808 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1023109808
- Entity Type
- Individual
- Name
- MRS. Freddy G Tisdale, MA CCCSLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCCSLP
- Enumeration Date
- Sep 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 255 W FLORIDA ST
- Address 2
- SUITE 200 JEFFERSON SPEECH & LANGUAGE CENTER OF ST TAMM
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70448
- Phone
- (985) 626-8403
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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|---|---|
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