MS. Kathy Matlock Tidwell LCSW

  • NPI 1083767131
According to our database, the NPI number for MS. Kathy Matlock Tidwell LCSW is 1083767131 and activated since 17 years ago. MS. Kathy Matlock Tidwell LCSW is an individual provider who specializes in Clinical, and the primary practice location is 5999 W State St Ste B, Boise, ID 83703. You can also contact MS. Kathy Matlock Tidwell LCSW via telephone number is (208) 853-5095. Provider NPI information was last updated on 09/16/2019.

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Overview of MS. Kathy Matlock Tidwell LCSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 01/20/2007
  • Last updated: 09/16/2019

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: LCSW 858
  • License State: ID

Provider Mailing Address

  • Address: 7285 W Franklin Rd
    Boise, ID 83709
  • Phone: 208-853-5095
  • Fax: 208-853-5125

Provider Practice Location

  • Address: 5999 W State St Ste B
    Boise, ID 83703
  • Phone: 208-853-5095
  • Fax: 208-853-5125

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: LCSW 858
  • License State: ID
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MS. Kathy Matlock Tidwell LCSW?
  • A: The npi number for MS. Kathy Matlock Tidwell LCSW is 1083767131.
  • Q: What are MS. Kathy Matlock Tidwell LCSW's specialties?
  • A: MS. Kathy Matlock Tidwell LCSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for MS. Kathy Matlock Tidwell LCSW?
  • A: The medical license number for MS. Kathy Matlock Tidwell LCSW is LCSW 858 and issued in ID in USA.
  • Q: Where is MS. Kathy Matlock Tidwell LCSW practice location?
  • A: MS. Kathy Matlock Tidwell LCSW is practicing at 5999 W State St Ste B, Boise, ID 83703.
  • Q: How to contact MS. Kathy Matlock Tidwell LCSW?
  • A: You can contact MS. Kathy Matlock Tidwell LCSW via 208-853-5095.
Medicare Specialty
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Sports Medicine
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