Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anna Grace Tidmore

Individual provider Speech-Language Pathologist · NPI 1407682362

Anna Grace Tidmore is a Speech-Language Pathologist in Southaven, Mississippi. Practices as a sole proprietor and works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2024

Practice location Address checks out

5960 Getwell Rd Ste 212D
Southaven, MS 38672-7320
Phone: (662) 228-0130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5740 Getwell Rd Bldg 9a, Southaven, MS 38672-7360 — (901) 302-8101

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence S5240 (MS)

Record details

NPI number1407682362
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

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