Laura Tidenberg, MS CCC SLP
NPI #1154875029 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1154875029
- Entity Type
- Individual
- Name
- Laura Tidenberg, MS CCC SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS CCC SLP
- Enumeration Date
- Aug 9, 2016
- Last Updated
- Aug 9, 2016
Practice Location
- Address
- 801 FAIRLANE DR
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-1629
- Phone
- (918) 839-9852
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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