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

Kathryn Tidaback, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1821614934

Kathryn Tidaback, MSCCC-SLP is a Speech-Language Pathologist in Capitola, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

820 Bay Ave Ste 212
Capitola, CA 95010-2103
Phone: (831) 854-2060
Show map & directions

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

Additional practice locations (1)

  • 1031 Brommer St, Santa Cruz, CA 95062-2807 — (520) 780-0666

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 27759 (CA)

Record details

NPI number1821614934
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedJune 24, 2020
Last updated in NPPESJune 24, 2020
Certification dateJune 24, 2020

Other providers in Capitola