Tydings, Lori Ann

Tydings, Lori Ann is an individual health care provider with primary practice located at 2102 Beverly Dr , Enid OK 73703-7654. 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. Tydings, Lori Ann can be contacted via phone (580) 366-7650.

Contact Information

Primary practice address
2102 Beverly Dr Enid OK 73703-7654
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2080 Oklahoma

Profile Details

NPI number 1114501863
LBN Legal business name Tydings, Lori Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2021
Last updated May 10th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114501863 NPPES
Oklahoma MEDICAID 2080

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