MS. Amy Valentine Tidik, MA,CCC-SP
NPI #1043526056 in San Luis Obispo, California
Provider Information
- NPI Number
- 1043526056
- Entity Type
- Individual
- Name
- MS. Amy Valentine Tidik, MA,CCC-SP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA,CCC-SP
- Enumeration Date
- Aug 27, 2010
- Last Updated
- Aug 27, 2010
Practice Location
- Address
- 1130 GROVE ST
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-2914
- Phone
- (805) 543-3945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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