KATHRYN TIDABACK M.S. CCC-SLP
NPI 1821614934
Speech-Language Pathologist in Capitola, CA
- Individual
- Female
- Speech-Language Pathologist
About KATHRYN TIDABACK
This page provides the complete NPI Profile along with additional information for Kathryn Tidaback, a provider established in Capitola, California with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1821614934 assigned on June 2020. The practitioner's primary taxonomy code is 235Z00000X with license number 27759 (CA). The provider is registered as an individual and her NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1821614934 Verify this NPI
- Provider Name
- KATHRYN TIDABACK M.S. CCC-SLP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 820 BAY AVE STE 212 CAPITOLA, CA 95010
- Location Phone
- (831) 854-2060
- Mailing Address
- 1031 BROMMER ST SANTA CRUZ, CA 95062
- Mailing Phone
- (520) 780-0666
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-24-2020
- Last Update Date
- 06-24-2020
- Code Navigator
Location Map
Secondary Locations
- 1031 Brommer St
Santa Cruz, CA 95062
(520) 780-0666
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 27759
- License State
- CA
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
CAPITOLA, CA 95010
CAPITOLA, CA 95010
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821614934, enumerated as an "individual" on June 24, 2020.
The provider is located at 820 BAY AVE STE 212 CAPITOLA, CA 95010 and the phone number is (831) 854-2060.
Speech-Language Pathologist with taxonomy code 235Z00000X.
