Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Paige Vidrine, MS, CCC-SLP

Individual provider Lactation Consultant (Non-RN) · NPI 1679013155

Paige Vidrine, MS, CCC-SLP is a Lactation Consultant (Non-RN) in Fort Worth, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

7500 N Beach St
Fort Worth, TX 76137-1505
Phone: (817) 514-6333
Fax: (817) 514-6334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14517 Meadowland Cir, Newark, TX 76071-9103 — (817) 381-8272

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 112365 (TX)
Lactation Consultant (Non-RN) Taxonomy 174N00000X · Licence L-318371 (TX)

Record details

NPI number1679013155
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 2, 2017
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026

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