Tidd, Kathryn Davis

Tidd, Kathryn Davis is an individual health care provider with primary practice located at 815 37Th Ave S , Moorhead MN 56560-5524. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tidd, Kathryn Davis can be contacted via phone (701) 451-4811.

Contact Information

Primary practice address
815 37Th Ave S Moorhead MN 56560-5524
Phone: (701) 451-4811
Fax: (651) 925-0057
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 28095 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5057 North Dakota

Profile Details

NPI number 1285047738
LBN Legal business name Tidd, Kathryn Davis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2014
Last updated Jan 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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