MRS. FREDDY G TISDALE MA CCCSLP
NPI 1023109808
Speech-Language Pathologist in Mandeville, LA

Active since September 27, 2006
255 W FLORIDA ST, SUITE 200 JEFFERSON SPEECH & LANGUAGE CENTER OF ST TAMM, MANDEVILLE, LA 70448(985) 626-8403(985) 727-9871 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Freddy G Tisdale Ma Cccslp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. FREDDY G TISDALE MA CCCSLP (NPI 1023109808) is an individual speech-language pathologist provider in Mandeville, Louisiana, licensed in Louisiana (12008332) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1023109808
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. FREDDY G TISDALECredential: MA CCCSLP
Location Address255 W FLORIDA ST, SUITE 200 JEFFERSON SPEECH & LANGUAGE CENTER OF ST TAMMMandeville, LA 70448
Mailing Address255 W Florida St, Suite 200 Jefferson Speech & Language Center Of St TammMandeville, LA 70448 · (985) 626-8403 · Fax (985) 727-9871
Fax(985) 727-9871
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1023109808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses Licensed in LA · 12008332 Licensed in LA · 4135
Definition
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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
255 W FLORIDA ST, Mandeville, LA 70448

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
255 W FLORIDA ST, SUITE 200 JEFFERSON SPEECH & LANGUAGE CENTER OF ST TAMM
MANDERVILLE, LA 70448
Plastic Surgery
255 W FLORIDA ST, SUITE 102
MANDEVILLE, LA 70448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freddy Tisdale's NPI number?

The NPI number for Freddy Tisdale is 1023109808. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Freddy Tisdale located?

Freddy Tisdale practices at 255 W Florida St Suite 200 Jefferson Speech & Language Center Of St Tamm, Mandeville, LA 70448. The listed phone number is (985) 626-8403.

What is Freddy Tisdale's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Freddy Tisdale accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Freddy Tisdale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Freddy Tisdale was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.