Individual provider · Type 1 NPI

Anna Grace Tidmore

Speech-Language Pathologist · Southaven, MS

NPI number 1407682362 Active

Practice location

5960 Getwell Rd Ste 212D
Southaven, MS 38672-7320

Mailing address

2950 Dove Cv
Hernando, MS 38632-7640

Other practice locations

  • 5740 Getwell Rd Bldg 9A, Southaven, MS 38672-7360 · (901) 302-8101

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XS5240 (MS)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1407682362

Anna Grace Tidmore's National Provider Identifier is 1407682362, issued on Sep 9, 2024. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Southaven, MS. The record was last updated on Sep 9, 2024.