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ANNA GRACE TIDMORE
NPI 1407682362
Speech-Language Pathologist in Southaven, MS

Active since September 09, 2024
5960 GETWELL RD STE 212D, SOUTHAVEN, MS 38672(662) 228-0130 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anna Grace Tidmore NPPES

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

ANNA GRACE TIDMORE (NPI 1407682362) is an individual speech-language pathologist provider in Southaven, Mississippi, licensed in Mississippi (S5240) and active in the NPI registry since September 2024. She maintains a secondary practice location in Southaven.

NPPES Registry Identity

NPI1407682362
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANNA GRACE TIDMORE
Location Address5960 GETWELL RD STE 212DSouthaven, MS 38672-7320
Mailing Address2950 Dove CvHernando, MS 38632-7640 · (662) 545-1006
Phone(662) 228-0130
Sole ProprietorYes
Enumeration DateSeptember 9, 2024
NPPES CertifiedSeptember 9, 2024
✔ NPI 1407682362 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
License✔ Licensed in MS · S5240
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.
5960 GETWELL RD STE 212D, Southaven, MS 38672
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Secondary Practice Location 1

Location 15740 Getwell Rd Bldg 9ASouthaven, MS 38672-7360 · Phone (901) 302-8101

Other Providers at the Same Location NPPES 8

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

ABBY RAY BCBA
Behavior Analyst
5960 GETWELL RD STE 212D
SOUTHAVEN, MS 38672
Desoto County (662) 228-0130
SARAH IRBY PHD
Psychologist (Clinical Child & Adolescent)
5960 GETWELL RD STE 212D
SOUTHAVEN, MS 38672
Desoto County (662) 228-0130
PEYTON G HOLLAND BCBA
Behavior Analyst
5960 GETWELL RD STE 212D
SOUTHAVEN, MS 38672
Desoto County (662) 228-0130
IRBY PSYCHOLOGICAL SERVICES, LLC
Psychologist
5960 GETWELL RD STE 212D
SOUTHAVEN, MS 38672
Desoto County (662) 228-0130
GRACE MEANS COTA/L
Occupational Therapy Assistant
5960 GETWELL RD STE 212D
SOUTHAVEN, MS 38672
Desoto County (662) 228-0130
APRIL A HOLLAND LPC
Counselor (Mental Health)
5960 GETWELL RD STE 212D
SOUTHAVEN, MS 38672
Desoto County (662) 228-0130
MRS. MELANIE WHITE M.S., CCC-A
Audiologist
5960 GETWELL RD STE 212D
SOUTHAVEN, MS 38672
Desoto County (662) 895-6455
MRS. EMILY HEMBRUCH HART M.S., BCBA, LBA
Behavior Analyst
5960 GETWELL RD STE 212D
SOUTHAVEN, MS 38672
Desoto County (662) 228-0130

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 Anna Tidmore's NPI number?

The NPI number for Anna Tidmore is 1407682362. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Anna Tidmore located?

Anna Tidmore practices at 5960 Getwell Rd Ste 212D, Southaven, MS 38672. The listed phone number is (662) 228-0130.

What is Anna Tidmore's specialty?

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

When was this NPI record last updated?

The NPPES record for Anna Tidmore was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.