Casey Renae Tisdale

NPI 1518289198 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1518289198
Gender Female
Enumeration Date 02/23/2010
Last Updated 02/23/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
245 CAHABA VALLEY PKWY STE 200
PELHAM AL, 35124-2217, US
Phone (205) 942-6820
Fax
Business Location
929 MIXON SCHOOL RD
OZARK AL, 36360-6174, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Alabama
License Number 2753
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According to our database, Casey Renae Tisdale NPI is 1518289198, taxonomy code is 235Z00000X and license number is 2753, license state is located at Alabama. Casey Renae Tisdale physically located at 245 Cahaba Valley Pkwy Ste 200, Pelham AL, 35124-2217. NPI Number Casey Renae Tisdale has the Individual type.

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1518289198 NPI number is provided on an as is basis without warranty of any kind. 1518289198 is maintained by the National Plan & Provider Enumeration System. The contents of Casey Renae Tisdale are for informational purposes only.