Mrs. Freddy G Tisdale, MACCCSLP
Mrs. Freddy G Tisdale, MACCCSLP is a Speech-Language Pathologist in Mandeville, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.
- Licensed in
- LA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
255 W Florida St Ste 200 Jefferson Speech & Language Center OF ST TammMandeville, LA 70448
Phone: (985) 626-8403
Fax: (985) 727-9871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 12008332 (LA) |
|---|---|
| Speech-Language Pathologist | Taxonomy 235Z00000X · Licence 4135 (LA) |
Record details
| NPI number | 1023109808 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MACCCSLP |
| Sole proprietor | No |
| NPI enumerated | September 27, 2006 |
| Last updated in NPPES | July 8, 2007 |
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