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

Laura Tidenberg, MSCCCSLP

Individual provider Speech-Language Pathologist · NPI 1154875029

Laura Tidenberg, MSCCCSLP is a Speech-Language Pathologist in Midwest City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2016

Practice location Address checks out

801 Fairlane Dr
Midwest City, OK 73110-1629
Phone: (918) 839-9852
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 4607 (OK)

Record details

NPI number1154875029
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorYes
NPI enumeratedAugust 9, 2016
Last updated in NPPESAugust 9, 2016

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