Individual provider · Type 1 NPI

Kathryn Tidaback, M.S. CCC-SLP

Speech-Language Pathologist · Capitola, CA

NPI number 1821614934 Active

Practice location

820 Bay Ave Ste 212
Capitola, CA 95010-2103

Call (831) 854-2060 Map

Mailing address

1031 Brommer St
Santa Cruz, CA 95062-2807

Other practice locations

  • 1031 Brommer St, Santa Cruz, CA 95062-2807 · (520) 780-0666

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X27759 (CA)

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 1821614934

Kathryn Tidaback, M.S. CCC-SLP's National Provider Identifier is 1821614934, issued on Jun 24, 2020. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Capitola, CA. The record was last updated on Jun 24, 2020.