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:
Health care specialties
| Specialty | Code | License # | 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 19 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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