Tisdale, Freddy G

Tisdale, Freddy G is an individual health care provider with primary practice located at 255 W Florida St Suite 200 Jefferson Speech & Language Center Of St Tamm, Mandeville LA 70448. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Tisdale, Freddy G can be contacted via phone (985) 626-8403.

Contact Information

Primary practice address
255 W Florida St Suite 200 Jefferson Speech & Language Center Of St Tamm Mandeville LA 70448
Phone: (985) 626-8403
Fax: (985) 727-9871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 12008332 Louisiana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4135 Louisiana

Profile Details

NPI number 1023109808
LBN Legal business name Tisdale, Freddy G
Credentials MA CCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 18 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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