Kathryn Tidaback, M.S. CCC-SLP

NPI #1821614934 in Capitola, California

Provider Information

NPI Number
1821614934
Entity Type
Individual
Name
Kathryn Tidaback, M.S. CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S. CCC-SLP
Enumeration Date
Jun 24, 2020
Last Updated
Jun 24, 2020

Practice Location

Address
820 BAY AVE STE 212
ZIP Code
95010-2103
Phone
(831) 854-2060

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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