NPI 1154875029

Laura Tidenberg, MSCCCSLP

Practitioner Speech-Language Pathologist Midwest City, OK

Practice location

Address: 801 Fairlane Dr, Midwest City, OK 73110-1629
Phone: (918) 839-9852

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 4607 (OK)

Other Speech-Language Pathologist providers in Oklahoma →

Registry record

NPI: 1154875029
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2016
Record last updated: 9 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.