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

Mrs. Tabetha Nicole Mathiesen, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1093065682

Mrs. Tabetha Nicole Mathiesen, MSCCC-SLP is a Speech-Language Pathologist in Crescent, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2012.

Licensed in
OK
In the registry since
2012

Practice location Address checks out

205 E Cimarron Blvd
Crescent, OK 73028-9296
Phone: (405) 795-7110
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 3775 (OK)

Record details

NPI number1093065682
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 11, 2012
Last updated in NPPESJuly 11, 2013

Other providers in Crescent