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

Taylor Nichole Tidmore, MCDCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1821656729

Taylor Nichole Tidmore, MCDCCC-SLP is a Speech-Language Pathologist in Maylene, Alabama. Licensed in Alabama. Registered with an NPI since 2019.

Licensed in
AL
In the registry since
2019

Practice location Address checks out

109 Lane Park Dr
Maylene, AL 35114-6085
Phone: (205) 547-1652
Fax: (205) 651-0134
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 4341 (AL)

Record details

NPI number1821656729
Entity typeIndividual (Type 1)
GenderFemale
Credentials MCDCCC-SLP
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

Other providers in Maylene