TIDALHEALTH PEDIATRIC DEVELOPMENT AND THERAPY LLC
NPI 1689568404
Speech-Language Pathologist in Millsboro, DE

Q: What is Tidalhealth Pediatric Development And Therapy LLC's specialty?

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

Active since June 05, 2025

30265 COMMERCE DR UNIT 204, MILLSBORO, DE 19966(443) 978-6020 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tidalhealth Pediatric Development And Therapy Llc NPPES

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

TIDALHEALTH PEDIATRIC DEVELOPMENT AND THERAPY LLC (NPI 1689568404) is a healthcare organization registered as a speech-language pathologist in Millsboro, Delaware and active in the NPI registry since June 2025. The organization maintains a secondary practice location in Salisbury and lists Jazmine Maree Hollins, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1689568404

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NameTIDALHEALTH PEDIATRIC DEVELOPMENT AND THERAPY LLC

Location Address30265 COMMERCE DR UNIT 204Millsboro, DE 19966-3595

Mailing Address30265 Commerce Dr Unit 204Millsboro, DE 19966-3595 · (443) 978-6020

Phone(443) 978-6020

Organization SubpartNo

Authorized OfficialJazmine Maree HollinsCredentialing Specialist · (704) 799-6824

Enumeration DateJune 5, 2025

NPPES CertifiedJune 5, 2025

✔ NPI 1689568404 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

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.

30265 COMMERCE DR UNIT 204, Millsboro, DE 19966

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Secondary Practice Location 1

Location 12326 Goddard Pkwy Ste DSalisbury, MD 21801-1126 · Phone (443) 978-6020

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

BRENNAN BURDITT

Occupational Therapy Assistant